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Individual
KEITH C RICH
Active
Individual
KEITH C RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA185271
OR
363A00000X
Physician Assistant
Primary
PA59440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500736004
—
OR
Enumeration date
09/01/2016
Last updated
06/07/2022
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