| Doctor Name: | MRS. MICHELLE DANNETTE KECK |
| NPI Number: | 1063470771 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED NURSE |
| License Number: | 649219 |
| Business Practice Address: | 5060 Garlic Springs Way Fort Irwin, CA - 923102714 |
| Business Phone Number: | 7603860672 |
| Business Fax Number: | 7603863298 |
| Mailing Address: | 5060 Garlic Springs Way, FORT IRWIN |
| State: | CA |
| Postal Code: | 923102714 |
| Phone Number: | 7603860672 |
| Fax Number: | 7603863298 |
| NPI Enumeration Date: | 05/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0705X |
| License Number: | 649219 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |