MR. Keith M. Thibault, NP
NPI #1013078674 in Oakland, California
Provider Information
- NPI Number
- 1013078674
- Entity Type
- Individual
- Name
- MR. Keith M. Thibault, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Nov 14, 2014
Practice Location
- Address
- 275 W MACARTHUR
- City
- Oakland
- State
- California
- ZIP Code
- 94611-5641
- Phone
- (510) 752-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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