Nancy Keller MD

NPI 1063496602 - Family Medicine - 207Q00000X

NPI Details
NPI 1063496602
Gender Female
Enumeration Date 12/06/2005
Last Updated 03/23/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
790 E 5TH ST
COQUILLE OR, 97423-1755, US
Phone (541) 396-3111
Fax (541) 396-5891
Business Location
1900 WOODLAND DR
COOS BAY OR, 97420-0000, US
Phone (541) 267-5151
Fax (541) 266-4501
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number MD18038
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According to our database, Dr. Nancy Keller MD NPI is 1063496602, taxonomy code is 207Q00000X and license number is MD18038, license state is located at Oregon. Nancy Keller MD physically located at 790 E 5th St, Coquille OR, 97423-1755. NPI Number Nancy Keller MD has the Individual type.

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1063496602 NPI number is provided on an as is basis without warranty of any kind. 1063496602 is maintained by the National Plan & Provider Enumeration System. The contents of Nancy Keller MD are for informational purposes only.