Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 95008860 | CA |
NPI | 1033616008 |
---|---|
Provider Name | Heather Keith |
First Address | Bakersfield, CA 93314-9069 |
Second Address | Bakersfield, CA 93314-9069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2018 |
Last Update Date | 06/04/2018 |