Individual provider · Type 1 NPI
Katherine Elizabeth Keklak, RN
Psychiatric/Mental Health Registered Nurse · Glendale, CA
NPI number
1609406925
Active
Practice location
1509 Wilson Terrace
Glendale, CA 91206
Mailing address
750 E Third St Apt E11
Pomona, CA 91766-2078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 782159 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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- King-Yu TzuPsychiatric/Mental Health Registered Nurse Glendale, CA NPI 1235781741
- Edgar MendozaPsychiatric/Mental Health Registered Nurse Glendale, CA NPI 1265241673
About NPI 1609406925
Katherine Elizabeth Keklak, RN's National Provider Identifier is 1609406925, issued on Jan 26, 2020. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Glendale, CA. The record was last updated on Jan 26, 2020.