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Search › California › 363A00000X

Keely Tietjen, PA-C

NPI 1639738040 · on the registry since 2019

Practice

Address
2070 Clinton Ave
Alameda, CA 94501
Phone
(510) 864-1800
Organisation at this address
Crystal Terry
Jeffrey Levy Md Apc
Western Laboratories
Spherical Medical, Pc
Alameda Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California