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KEANDRE DESMOND RAIFORD NPI 1689328569


NPI Information

NPI: 1689328569
Provider Name: KEANDRE DESMOND RAIFORD
Classification:
Entity Type: Individual
Address:
11448 US 70 BUSINESS HWY W STE C
CLAYTON, NC
ZIP 27520
Phone: (919) 464-6979
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Keandre Desmond Raiford is a healthcare provider in Clayton, NC. Keandre Desmond Raiford NPI is 1689328569. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11448 US 70 BUSINESS HWY W STE C
CLAYTON, NC
ZIP 27520-208
Phone: (919) 464-6979

The enumeration date for this NPI number is 2/9/2022 and was last updated on 2/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1376J00000XHomemakerNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.