Individual provider · Type 1 NPI

Keba Raymond

Adult Health Nurse Practitioner · New York, NY

NPI number 1467087643 Active

Practice location

1176 5th Ave
New York, NY 10029-6503

Mailing address

5124 Avenue K
Brooklyn, NY 11234-3218

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF308840-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1467087643

Keba Raymond's National Provider Identifier is 1467087643, issued on Mar 7, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Mar 7, 2020.