Individual provider · Type 1 NPI
Keith Nichols
Intermediate Emergency Medical Technician · Moffett Field, CA
NPI number
1588511786
Active
Practice location
680 Macon Rd
Moffett Field, CA 94035-1005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intermediate Emergency Medical Technician Primary | 146M00000X | A2058105 |
Intermediate Emergency Medical Technician: An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
Another provider at this address
About NPI 1588511786
Keith Nichols's National Provider Identifier is 1588511786, issued on Mar 16, 2026. The primary taxonomy on file is Intermediate Emergency Medical Technician (146M00000X), and the practice location is in Moffett Field, CA. The record was last updated on Mar 16, 2026.