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Individual

MR. KEITH ARTHUR RHODEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
FRESNO & R STREET, FRESNO, CA 93721
(559) 459-6000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3234
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA0032340
BLUE SHIELD OF CA
CA
05
RN5575150
CA
Enumeration date
04/20/2007
Last updated
01/19/2022
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