Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith Allen Blackwell

Individual provider Rehabilitation Practitioner · NPI 1912380437

Keith Allen Blackwell is a Rehabilitation Practitioner in Lancaster, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

42455 10th St W Ste 103
Lancaster, CA 93534-7060
Phone: (661) 341-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 506 W Jackman St, Lancaster, CA 93534-2531 — (661) 726-2850

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 122399 (CA)
Rehabilitation Practitioner Taxonomy 225400000X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 1912380437 (CA)

Record details

NPI number1912380437
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 1, 2015
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing address42455 10th St W Ste 103, Lancaster, CA 93534-7060

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