Individual
ANNE KATHRYN KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1105 LAS TABLAS RD STE D, TEMPLETON, CA 93465-9731
(805) 239-0644
Mailing address
648 MITCHELL DR, SAN LUIS OBISPO, CA 93401-5642
(209) 712-6430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95009890
CA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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