KEATHER ALIX KEHOE (NPI# 1215946876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215946876 |
| Entity Type | Individual |
| Full Name | KEATHER ALIX KEHOE |
| Credential | M.D. |
| Practice Address |
925 Secret River Dr Suite E Sacramento CA 95831-3465 |
| Mailing Address |
4801 Laguna Blvd Suite 105-pmb 364 Elk Grove CA 95758-7037 |
| Practice Telephone | 9164294230 |
| Practice Fax Number | 9164294223 |
| Mailing Telephone | (916) 429-4230 |
| Mailing Fax Number | 9164294223 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A 070038 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A 070038 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2230 Stockton Blvd, Sacramento, CA 958171353 | 9167342972 | 9167343384 |
| Street Address |
925 SECRET RIVER DR SUITE E |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95831-3465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962492835 | Henny L Toy | Optometrist | 925 Secret River Dr, Sacramento, CA 95831-3465 | 2005-10-24 |
| 1558774109 | Lorenzo M Padron & Angel J Pinto Dds & Corporation | Dentist | 925 Secret River Dr, Sacramento, CA 95831-3465 | 2014-06-10 |
| 1932395548 | Sacramento Wellness Center | Acupuncturist | 925 Secret River Dr, Suite C, Sacramento, CA 95831 | 2007-09-18 |
| 1578788865 | Clifton Eiji Nakatani | Dentist | 925 Secret River Dr, Suite J, Sacramento, CA 95831-3465 | 2007-04-13 |
| 1003951732 | Lindsay M Johnson | Dentist | 925 Secret River Dr, Suite 2a, Sacramento, CA 95831-3465 | 2007-02-20 |
| 1740336676 | Margaret Bobinski | Dentist | 925 Secret River Dr, Suite A, Sacramento, CA 95831-3465 | 2007-01-25 |
| 1962589168 | Edward Kumasaki | Dentist | 925 Secret River Dr, Suite D, Sacramento, CA 95831-3465 | 2006-11-01 |
| 1891809075 | Stephen Patrick Saffold | Dentist | 925 Secret River Dr, Suite A, Sacramento, CA 95831-3465 | 2006-08-18 |
| 1861402992 | Michael O'brien | Dentist | 925 Secret River Dr, Suite C, Sacramento, CA 95831-3465 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930584 | Oliver Insixiengmay | Behavior Technician | 112 Fountain Oaks Cir Apt 244, Sacramento, CA 95831 | 2017-09-05 |
| 1194240630 | Kevin Christofer Abdelnour | Specialist/Technologist | 6866 Sailboat Way, Sacramento, CA 95831 | 2017-08-05 |
| 1508389958 | Another Choice Anothe Chance | Substance Abuse Rehabilitation Facility | 6715 Goria Drive Rooms 1 & A, Sacramento, CA 95831 | 2017-07-18 |
| 1225568819 | Taylor Shahbazian | Behavior Technician | 6660 Harmon Drive, Sacramento, CA 95831 | 2017-06-15 |
| 1639618572 | Dignity Care Medical Transportation | Nursing Care | 7230 Saouth Land Park Drive, Suite 101, Sacramento, CA 95831 | 2017-02-13 |
| 1417307208 | Cecilia Vasquez | Counselor | 1026 Florin Road, #198, Sacramento, CA 95831 | 2016-06-13 |
| 1750765053 | Sacramento Physicians Medical Group, Inc. | Clinic/Center | 7248 South Land Park Dr, 200, Sacramento, CA 95831 | 2015-07-16 |
| 1346660818 | Bruce Wright | Driver | 7485 Rush River, Suite 710 #186, Sacramento, CA 95831 | 2014-04-23 |
| 1477993376 | Brenda Ho, Dds, Inc. | Clinic/Center | 905 Secret River Drive, Suite E, Sacramento, CA 95831 | 2013-06-25 |
| 1285977686 | Julie Christine Kwong | Physical Therapist | 7077 Rush River Drive, Sacramento, CA 95831 | 2013-04-03 |
| Find all providers in zip 95831 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962530394 | Penelope K Knapp | Psychiatry & Neurology | 1600 9th St, Suite 151, Sacramento, CA 95814-6404 | 2007-02-28 |
| 1649349556 | David Rue | Psychiatry & Neurology | 8001 Folsom Blvd Ste 110, Sacramento, CA 95826-2621 | 2006-11-06 |
| 1275613168 | Don Young | Psychiatry & Neurology | 7171 Bowling Dr Ste 300, Sacramento, CA 95823-2043 | 2006-10-16 |
| 1982714143 | Fatemeh Shirin Ghaheri | Psychiatry & Neurology | 3671 Business Drive, Suite #100, Caare Diagnostic & Treatment Center, Sacramento, CA 95820-2165 | 2006-08-30 |
| 1972516714 | Mark David Edelstein | Psychiatry & Neurology | 1933 9th Ave, Sacramento, CA 95818-4214 | 2006-08-14 |
| 1063433100 | Marigold Nabong-verzosa | Psychiatry & Neurology | 8912 Volunteer Ln, Sacramento, CA 95826-3221 | 2006-07-22 |
| 1841215001 | Harry Carl Wang | Psychiatry & Neurology | 6355 Riverside Blvd, Suite S, Sacramento, CA 95831-1143 | 2006-07-12 |
| 1568445450 | Malia Audrey Mccarthy | Psychiatry & Neurology | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2005-11-23 |
| 1134101454 | Robert O. Horst | Psychiatry & Neurology | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2005-11-14 |
| 1902809460 | Stewart Edward Teal | Psychiatry & Neurology | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2005-05-27 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95831 |
Please comment or provide details below to improve the information on KEATHER ALIX KEHOE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.