National Provider Identifier Database

KEITH P POULSEN, DVM, PHD – NPI #1225387129
Veterinarian

A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.


Contact Information

KEITH P POULSEN, DVM, PHD
700 SW 30TH ST
CORVALLIS, OR97331-8628
Phone: 608-338-6444
Fax:
Website:
Specialty Taxonomy Code
* Veterinarian 174M00000X

* Indicates primary specialty

NPI Profile & details for KEITH P POULSEN

NPI Number 1225387129
Credentials DVM, PHD
Entity Individual
Enumeration date 09/06/2012
Last updated 09/06/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 5662
Hospital affiliation n/a

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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