Keith Bush
Case Manager/Care Coordinator in Watertown, NY. Individual provider (NPI-1).
NPI number1497400550
StatusActive
Last updated in NPPESFeb 17, 2022
Details
- NPI
- 1497400550
- Entity type
- Individual (NPI-1)
- Name
- Keith Bush
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2022
- Certification date
- Feb 17, 2022
- Last updated
- Feb 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
420 Gaffney DrWatertown, NY 13601-1823
Phone 315-414-6413
Mailing address
313 N Clinton StCarthage, NY 13619-1017
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All 52 Case Manager/Care Coordinator providers in Watertown · All 1,646 providers in Watertown
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