Individual
KEITH QUEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 BON AIR RD UNIT B, GREENBRAE, CA 94904-1702
(415) 473-6829
(415) 473-4113
Mailing address
1102 EUCLID AVE, BERKELEY, CA 94708-1603
(510) 423-2875
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
849882
CA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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