Individual provider · Type 1 NPI

Keely Reed Tietjen, PA-C

Physician Assistant · Alameda, CA

NPI number 1639738040 Active

Practice location

2070 Clinton Ave
Alameda, CA 94501-4399

Call (510) 864-1800 Map

Mailing address

6 Diablo Cir
Lafayette, CA 94549-3316

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA56700 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639738040

Keely Reed Tietjen, PA-C's National Provider Identifier is 1639738040, issued on Jun 10, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Alameda, CA. The record was last updated on Jan 3, 2022.