Keaton Skaggs
Keaton Skaggs is an Other Technician in Santa Rosa, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
983 Sonoma AveSanta Rosa, CA 95404-4818
Phone: (707) 575-4357
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|---|
| Other Technician | Taxonomy 247200000X · Licence 172V00000XRAY (CA) |
Record details
| NPI number | 1982493128 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 5, 2025 |
| Last updated in NPPES | June 25, 2025 |
| Certification date | June 25, 2025 |
| Mailing address | 983 Sonoma Ave, Santa Rosa, CA 95404-4818 |
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