Individual
MR. KEITH OTTIS DUKES I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7325 HERLONG WAY, NORTH HIGHLANDS, CA 95660-3433
(916) 968-1312
(916) 333-3935
Mailing address
PO BOX 60241, SACRAMENTO, CA 95860-0241
(916) 333-3927
(916) 333-3935
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
6Y20333
CA
Other
Enumeration date
11/18/2009
Last updated
10/09/2012
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