Hall, Keith

Hall, Keith is an sole proprietor health care provider with primary practice located at 1430 Willow Pass Rd Ste 100 , Concord CA 94520-7946. He recently has 4 registered licenses in different health care specialties including Nursing Service Related Providers / Day Training/Habilitation Specialist, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Nursing Service Related Providers / Day Training/Habilitation Specialist is his primary health care specialty. Hall, Keith can be contacted via phone (925) 348-5439.

Contact Information

Primary practice address
1430 Willow Pass Rd Ste 100 Concord CA 94520-7946
Phone: (925) 348-5439
Fax: (925) 646-5774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X California
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1306378401
LBN Legal business name Hall, Keith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2017
Last updated Apr 29th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306378401 NPPES
California Other C5650646 CA DRIVERS LICENSE

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