Individual
MR. KEITH CHRISTOPHER PALM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIRCLE, ATTN: CREDENTIALS OFFICE, FORT CARSON, CO 80913-4604
(719) 526-7844
(719) 526-7984
Mailing address
7922 BAYONET CIR, APT B, FORT CARSON, CO 80913-4686
(719) 559-4678
(719) 526-3666
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN505912L
PA
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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