Individual provider · Type 1 NPI

Keith Holmes

Student in an Organized Health Care Education/Training Program · Pasadena, CA

NPI number 1083901854 Active

Practice location

855 N Orange Grove Blvd
Pasadena, CA 91103-3333

Call (626) 796-3453 Map

Mailing address

855 North Orange Grove Blvd
Pasadena, CA 91103

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083901854

Keith Holmes's National Provider Identifier is 1083901854, issued on Jun 30, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pasadena, CA. The record was last updated on May 27, 2015.