NPI 1588511786

Keith Nichols

Practitioner Intermediate Emergency Medical Technician Moffett Field, CA

Practice location

Address: 680 Macon Rd, Moffett Field, CA 94035-1005
Phone: (253) 266-3622

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence A2058105

Other Emergency Medical Technician, Intermediate providers in California →

Registry record

NPI: 1588511786
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2026
Record last updated: 16 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.