Individual
KEITH WAYNE DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CARE MANAGER III
Contact information
Practice address
7351 SEMS LN, REDWOOD VALLEY, CA 95470-9424
(707) 972-4689
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
03/31/2025
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