Individual provider · Type 1 NPI
John Robert Keck, N.P.
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1215047766
Active
Practice location
11047 N 19th Ave
Phoenix, AZ 85029-4816
Fax (602) 314-4552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP2289 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1215047766
John Robert Keck, N.P.'s National Provider Identifier is 1215047766, issued on Aug 30, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 4, 2025.