Healthcare Provider Details

I. General information

NPI: 1346174224
Provider Name (Legal Business Name): EMILY FRANCES KEAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72769 DINAH SHORE DR
RANCHO MIRAGE CA
92270-2703
US

IV. Provider business mailing address

81220 SIROCCO AVE
INDIO CA
92201-2843
US

V. Phone/Fax

Practice location:
  • Phone: 760-454-7700
  • Fax:
Mailing address:
  • Phone: 760-534-6634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: