Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEATON JAMES RIDER
Active Sole ProprietorKEATON JAMES RIDER is a Independent Duty Medical Technician healthcare provider located in CANNON AFB, New Mexico. NPI 1083369938 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · CANNON AFB, NM
Registration Details
- NPI Number
- 1083369938
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 18, 2022 (4.5244325432008 yrs)
- Last Updated
- Aug 2, 2022
- License
-
L5ALJ4N051C00AB (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 W D.L. INGRAM AVECANNON AFB, NM, 88101Browse NM providers · Browse ZIP 88101
- Phone
- 5757842778
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in CANNON AFB, NM
| Name | Credential | NPI |
|---|---|---|
| JILLIAN MARIE BEAUSOLEIL | IDMT | 1053554204 |
| MR. ANDREW SPRINGSTEAD | — | 1639313125 |
| MARTIN OLEEN JENSEN | IDMT | 1598909012 |
| MR. STEVEN BRANDON YATES | IDMT | 1366686842 |
| MR. FRANCISCO S DEGUZMAN | IDMT-P | 1497999684 |
| LINDSAY VINCENT | IDMT | 1083844054 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.