Individual
CELESTE KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
770 WASHINGTON ST STE 200, SAN DIEGO, CA 92103-2209
(858) 278-3636
(858) 278-3637
Mailing address
770 WASHINGTON ST, SUITE 200, SAN DIEGO, CA 92103
(858) 278-3636
(858) 278-3637
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
763809
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144644170
—
CA
Enumeration date
09/05/2012
Last updated
07/21/2022
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