Individual
COREY MICHELE KEATHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RHDAP
Contact information
Practice address
2200 NANTES WAY, BAKERSFIELD, CA 93311-1539
(661) 707-8221
Mailing address
2200 NANTES WAY, BAKERSFIELD, CA 93311-1539
(661) 706-8221
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
728
CA
Other
Enumeration date
02/23/2019
Last updated
02/23/2019
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