JUSTIN THOMAS KEATE

POCATELLO, ID
NPI1194506477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  78567)
Additional Taxonomies163W00000X Registered Nurse
(Licence: UT  10196201-3102)
Enumeration Date2023-10-11
Last Update Date2024-01-18
Business Address
JUSTIN THOMAS KEATE RN
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-239-1000
Mailing Address
JUSTIN THOMAS KEATE RN
261 S 300 W
KAYSVILLE, UT 84037-2448
Phone number: