Provider Demographics
NPI:1528396488
Name:CHAMBERS, KEITH (NMD)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20801 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-7412
Mailing Address - Country:US
Mailing Address - Phone:480-389-3265
Mailing Address - Fax:866-869-0129
Practice Address - Street 1:20801 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7412
Practice Address - Country:US
Practice Address - Phone:480-389-3265
Practice Address - Fax:866-869-0129
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2011-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-1140175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath