Male or Other

Keldrian Pate

Attendant Care Provider in Greenville, AL(View on Map)

Full Name

Keldrian Pate

NPI Number

1669184834

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/20/2022

Specialties

(Taxonomies)

Code

3747A0650X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

414 OGLESBY ST
414 OGLESBY ST

City

Greenville
Greenville

State

AL
AL

Postal Code

36037-2916
36037-2916

Country

US
US

Telephone Number

(334) 320-0647
(334) 320-0647

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/20/2022

Provider Address