Individual
DR. KEI NAKANISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 S ANDREWS AVENUE, PHOENIX OB/GYN, LLC, FORT LAUDERDALE, FL 33316-2510
(954) 355-5110
(954) 355-4919
Mailing address
3114 CROASDAILE DRIVE, SUITE 200, DURHAM, NC 27705-2508
(919) 425-1565
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME76076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259485400
—
FL
Enumeration date
08/12/2005
Last updated
10/15/2010
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