Provider Demographics
NPI:1245755362
Name:KESKITALO, BRITTNI JANET ROSEMARIE (CNIM)
Entity Type:Individual
Prefix:
First Name:BRITTNI
Middle Name:JANET ROSEMARIE
Last Name:KESKITALO
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 WATERVIEW PKWY STE 305
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-1472
Mailing Address - Country:US
Mailing Address - Phone:214-551-0257
Mailing Address - Fax:
Practice Address - Street 1:3400 WATERVIEW PKWY STE 305
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-1472
Practice Address - Country:US
Practice Address - Phone:214-551-0257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3973246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic