MR. KEITH CHRISTOPHER PALM (NPI# 1003888629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003888629 |
| Entity Type | Individual |
| Full Name | MR. KEITH CHRISTOPHER PALM |
| Credential | RN |
| Practice Address |
Usa Meddac, Evans Army Community Hospital 1650 Cochrane Circle, Attn: Credentials Office Fort Carson CO 80913-4604 |
| Mailing Address |
7922 Bayonet Cir Apt B Fort Carson CO 80913-4686 |
| Practice Telephone | 7195267844 |
| Practice Fax Number | 7195267984 |
| Mailing Telephone | 7195594678 |
| Mailing Fax Number | 7195263666 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN505912L | PA | Nursing Service Providers |
| Street Address |
USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL 1650 COCHRANE CIRCLE, ATTN: CREDENTIALS OFFICE |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407836307 | Suzanne Marie Seballoz | Licensed Practical Nurse | Usa Meddac, Evans Army Community Hospital, 1650 Cochrean Circle, Attn: Credentials Office, Fort Carson, CO 80913-4604 | 2006-01-18 |
| 1699738682 | Frederick Samuel Mechanik | Podiatrist | Usa Meddac, Evans Army Community Hospital, 1650 Cochrane Circle, Attn: Credentials Office, Fort Carson, CO 80913-4604 | 2006-04-10 |
| 1780650580 | Steven Joseph Knorr | Psychiatry & Neurology | Usa Meddac, Evans Army Community Hospital, Department of Behavioral Health, Fort Carson, CO 80913-4604 | 2006-02-23 |
| 1639142102 | Timothy G Zoelle | Nurse Anesthetist, Certified Registered | Usa Meddac, Evans Army Community Hospital, 1650 Cochrane Circle, Attn: Creditials Office, Fort Carson, CO 80913-4604 | 2006-02-07 |
| 1558332361 | Kristie Lee Nelson | Emergency Medicine | Usa Meddac, Evans Army Community Hospital, Emergency Department, Fort Carson, CO 80913-4604 | 2006-01-30 |
| 1063482495 | Patrick Michael Casey | Chiropractor | Usa Meddac, Evans Army Community Hospital, Chiropractic Clinic, Fort Carson, CO 80913-4604 | 2006-01-26 |
| 1780655019 | James Richard Fojtek | Physician Assistant | Usa Meddac, Evans Army Community Hospital, Tooele Army Depot, Bldg 400, Fort Carson, CO 80913-4604 | 2006-01-26 |
| 1316917974 | Robert Steven Rudolphi | Internal Medicine | Usa Meddac, Evans Army Community Hospital, Internal Medicine Clinic, Fort Carson, CO 80913-4604 | 2006-01-25 |
| 1992775837 | Anthony Sullivan | Obstetrics & Gynecology | Usa Meddac, Evans Army Community Hospital, 1650 Cochrane Circle, Dept of Ob/gyn, Fort Carson, CO 80913-4604 | 2006-01-24 |
| 1033189204 | Jolene J. Sharrett | Military Hospital | Usa Meddac, Evans Army Community Hospital, 1650 Cochrane Circle, Attn: Credentials Office, Fort Carson, CO 80913-4604 | 2006-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518238567 | Monique Jeanbaptiste | Registered Nurse | 1650 Cochrane Cir, Fort Carson, CO 80913-4603 | 2012-01-23 |
| 1407150865 | Claire Elizabeth Stowers | Registered Nurse | 1650 Cochrane Cir, Building 2059, Fort Carson, CO 80913-4603 | 2010-12-28 |
| 1356674022 | Arlene Boyd Le Doux | Registered Nurse | 1650 Cochrane Cir, Mcxe-pmd-phn, Fort Carson, CO 80913-4603 | 2009-09-14 |
| 1902069644 | Terry J. Brown | Registered Nurse | 1650 Cochrane Cir, Fort Carson, CO 80913-4603 | 2008-07-02 |
| 1568663961 | Jasmine Chanel Peterson | Registered Nurse | Evans Army Community Hospital (each) Usa Meddac, Building 2059 Each 1650 Cochrane Circle, Fort Carson, CO 80913 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257087 | Alice Catherine Harvey | Registered Nurse | 200 Main St Ste 200, Meeker, CO 81641-3354 | 2019-04-15 |
| 1265917215 | Jobeth Mills | Registered Nurse | 325 8th Street, Hugo, CO 80821 | 2018-09-26 |
| 1457848483 | Elizabeth Michelle Stoffel | Registered Nurse | 1225 Paragon Pl, Fort Collins, CO 80525-9127 | 2018-04-16 |
| 1134641632 | Ashley French-holt | Registered Nurse | 281 Sawyer Dr Ste 300, Durango, CO 81303-3412 | 2017-07-17 |
| 1801318407 | Teresa Littlefield | Registered Nurse | 4863 N Nevada Ave # 229, Colorado Springs, CO 80918-3951 | 2017-07-14 |
| 1043732092 | Jennifer Lynn Jones | Registered Nurse | 4863 N Nevada Ave # 224, Colorado Springs, CO 80918-3951 | 2017-07-12 |
| 1669920096 | Ryan Hedrick | Registered Nurse | 5156 E Atlantic Pl, Denver, CO 80222-4708 | 2016-09-14 |
| 1063875557 | James T Biel | Registered Nurse | 3855 Canyon Ranch Rd Unit 203, Highlands Ranch, CO 80126-6077 | 2016-04-01 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| 1730504861 | Carrie A Tobin | Registered Nurse | 817 W Oak St, Fort Collins, CO 80521-2513 | 2014-02-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
Please comment or provide details below to improve the information on MR. KEITH CHRISTOPHER PALM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.