Mountcstle, Keitha K

Mountcstle, Keitha K is an individual health care provider with primary practice located at 205 W Decatur Ave , Clovis CA 93611-7124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Mountcstle, Keitha K can be contacted via phone (559) 322-0868.

Contact Information

Primary practice address
205 W Decatur Ave Clovis CA 93611-7124
Phone: (559) 322-0868
Fax: (559) 278-6360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 10646 California
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 364SN0000X 708 California

Profile Details

NPI number 1972500189
LBN Legal business name Mountcstle, Keitha K
Credentials RN, ED.D., CNS, NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 8th, 2007 - about 18 years ago

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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