Individual
MOIRA KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5125 SKYWAY, PARADISE, CA 95969-5624
(530) 872-2000
Mailing address
5125 SKYWAY, PARADISE, CA 95969-5624
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
15686
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70116G
—
CA
05
—
CMM70268F
—
CA
05
—
CMM70370F
—
CA
05
—
ZZR11629F
—
CA
Enumeration date
05/15/2007
Last updated
04/02/2024
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