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MR. KEITHEON RAYMONE COLLINS PA
NPI 1962220616
Physician Assistant - Medical in Ft Worth, TX

Active since October 01, 2024
1925 BERRYBROOK DR, FT WORTH, TX 76134(214) 930-0889 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Keitheon Raymone Collins Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEITHEON RAYMONE COLLINS PA (NPI 1962220616) is an individual medical provider in Ft Worth, Texas and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1962220616
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KEITHEON RAYMONE COLLINSCredential: PA
Location Address1925 BERRYBROOK DRFt Worth, TX 76134-8403
Mailing Address1075 E Betteravia Rd # 201Santa Maria, CA 93454-7023 · (805) 621-7714
Phone(214) 930-0889
Sole ProprietorNo
Enumeration DateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
✔ NPI 1962220616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1925 BERRYBROOK DR, Ft Worth, TX 76134
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keitheon Collins's NPI number?

The NPI number for Keitheon Collins is 1962220616. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is Keitheon Collins located?

Keitheon Collins practices at 1925 Berrybrook Dr, Ft Worth, TX 76134. The listed phone number is (214) 930-0889.

What is Keitheon Collins's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Keitheon Collins was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.