Healthcare Provider Details

I. General information

NPI: 1144242975
Provider Name (Legal Business Name): GAYLE KEIM-LEVAS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2604 SCHOENERSVILLE RD
BETHLEHEM PA
18017-3518
US

IV. Provider business mailing address

1650 VALLEY CENTER PKWY SUITE 100
BETHLEHEM PA
18017-2344
US

V. Phone/Fax

Practice location:
  • Phone: 610-691-8028
  • Fax:
Mailing address:
  • Phone: 484-884-4436
  • Fax: 484-884-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN169375L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: