Audrey Lynn Keller PA-C

NPI 1003991530 - Family Medicine - 207Q00000X

NPI Details
NPI 1003991530
Gender Female
Enumeration Date 10/25/2006
Last Updated 12/29/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
525 4TH ST
BALDWIN MI, 49304-9518, US
Phone (231) 745-3116
Fax (231) 745-3136
Business Location
525 4TH ST
BALDWIN MI, 49304-9518, US
Phone (231) 745-3116
Fax (231) 745-3136
Toxanomy
Taxonomy Code 207Q00000X
License State Colorado
License Number CO2225
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According to our database, Audrey Lynn Keller PA-C NPI is 1003991530, taxonomy code is 207Q00000X and license number is CO2225, license state is located at Colorado. Audrey Lynn Keller PA-C physically located at 525 4th St, Baldwin MI, 49304-9518. NPI Number Audrey Lynn Keller PA-C has the Individual type.

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1003991530 NPI number is provided on an as is basis without warranty of any kind. 1003991530 is maintained by the National Plan & Provider Enumeration System. The contents of Audrey Lynn Keller PA-C are for informational purposes only.