Keith Richard Kokseng in Saint Petersburg - Clinical
Keith Richard Kokseng - NPI 1356476782
Keith Richard Kokseng is a Clinical in Saint Petersburg, Florida. Keith Richard Kokseng practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keith Richard Kokseng is 1356476782. The last update date is 2022-06-22.
Keith Richard Kokseng's current location address is 2804 1st Ave S, Saint Petersburg, Florida. You can contact this provider via phone number 8135237563. The mailing address for Keith Richard Kokseng is 2804 1st Ave S, Saint Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Richard Kokseng |
|---|---|
| Address | 2804 1st Ave S, Saint Petersburg, Florida |
| Phone Number | 8135237563 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY. D. |
NPI Number Detail
| NPI Number | 1356476782 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2022-06-22 |
Provider Mailing Address Detail
| Address | 2804 1st Ave S |
|---|---|
| City | Saint Petersburg |
| State | Florida (FL) |
| Post Code | 337121002 |
| Phone Number | 8135237563 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY9814 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Keith Richard Kokseng by the Centers for Medicare & Medicaid Services?
The Keith Richard Kokseng has been issued the NPI (National Provider Identifier) 1356476782, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Keith Richard Kokseng's physical address?
The Keith Richard Kokseng is physically located at 2804 1St Ave S, in the city of Saint Petersburg, FL, with the postal code 337121002.
What is Keith Richard Kokseng's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keith Richard Kokseng is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Keith Richard Kokseng receive its 1356476782 assignment from the Centers for Medicare & Medicaid Services?
The Keith Richard Kokseng was assigned its 1356476782 by the Centers for Medicare & Medicaid Services on 2007-02-23.
As of what date were the details related to Keith Richard Kokseng most recently updated or revised?
The information pertaining to Keith Richard Kokseng, including its address, specialty, and other relevant details, was last updated or revised on 2022-06-22.
NPI Number: 1699778829
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