Winters, Keith D

Winters, Keith D is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Suite 304, Goodyear AZ 85338-2624. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Winters, Keith D can be contacted via phone (623) 935-5522.

Contact Information

Primary practice address
13555 W Mcdowell Rd Suite 304 Goodyear AZ 85338-2624
Phone: (623) 935-5522
Fax: (623) 935-3220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2717 Arizona

Profile Details

NPI number 1558334243
LBN Legal business name Winters, Keith D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2006
Last updated Oct 24th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558334243 NPPES
Arizona MEDICAID 742909

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