Individual provider · Type 1 NPI

Martinez McKeithan, HS1

Other Technician · New Haven, CT

NPI number 1275564700 Active

Practice location

120 Woodward Ave, Commander Uscg Sector Long Island Sound
New Haven, CT 06512-3628

Fax (203) 468-4483

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1275564700

Martinez McKeithan, HS1's National Provider Identifier is 1275564700, issued on Jul 5, 2006. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in New Haven, CT. The record was last updated on Jul 8, 2007.