Provider Information for 1275290215
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
KEISHA LETT
Sex: Female
NPI: 1275290215
Last Updated: 2021-11-24
Certification Date: 2021-11-24
Certification Date: 2021-11-24
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1275290215 | ||||||||
| Enumeration Date | 2021-11-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1231 W HWY 287 BYP APT 72 WAXAHACHIE, TX 75165-5026 United States Phone: 972-351-0532 | Fax: | ||||||||
| Primary Practice Address | 1231 W HWY 287 BYP APT 72 WAXAHACHIE, TX 75165-5026 United States Phone: 972-351-0532 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|