Individual
JULIAN F KEITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2175 ROSALINE AVE, REDDING, CA 96001-2509
(530) 225-7386
(530) 225-7266
Mailing address
PO BOX 994032, REDDING, CA 96099-4032
(530) 241-0473
(530) 241-5377
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
G64431
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G644310
—
CA
Enumeration date
07/10/2006
Last updated
07/08/2007
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