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Contact Information

KEITH E PALMER
445 WELLESLEY AVE
MILL VALLEY, CA94941
 Phone: 415-383-6463
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KEITH E PALMER · (Male)

NPI Number 1366520900
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2006
Last updated 12/30/2009 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G33049
  • CA Medicaid 00G330490
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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