Doctor Name: | MR. KEITH L HIMEL |
NPI Number: | 1700967114 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPN |
License Number: | LP00048942 |
Business Practice Address: | Of Veterans Affairs Pshcs, American Lake Division, Er Tacoma, WA - 984935000 |
Business Phone Number: | 2535828440 |
Business Fax Number: | 2535894150 |
Mailing Address: | 19430 105th Avenue Ct E, GRAHAM |
State: | WA |
Postal Code: | 983386486 |
Phone Number: | 2532271882 |
Fax Number: | 2535894150 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | LP00048942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |