Individual
KEVIN W KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2210 DEL PASO RD, SACRAMENTO, CA 95834-9676
(916) 500-2914
Mailing address
1059 WILHAGGIN PARK LN, SACRAMENTO, CA 95864-5377
(916) 500-2914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G32520
CA
207R00000X
Internal Medicine Physician
MD21667
OR
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
G32520
CA
208000000X
Pediatrics Physician
G32520
CA
208000000X
Pediatrics Physician
MD21667
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136343
—
OR
Enumeration date
06/16/2006
Last updated
10/15/2024
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