Kelly Rene Keller is a Medical in Portland, Oregon. Kelly Rene Keller practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelly Rene Keller is 1093916744. The last update date is 2020-12-29.
Kelly Rene Keller's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034185710 and fax number 5034944953. The mailing address for Kelly Rene Keller is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Rene Keller |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034185710 |
| Fax Number | 5034944953 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1093916744 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2020-12-29 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034185710 |
| Fax Number | 5034944953 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA152808 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identifier code issued to Kelly Rene Keller by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly Rene Keller has been assigned the NPI (National Provider Identifier) 1093916744. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Kelly Rene Keller's facilities are geographically located?
The facilities of Kelly Rene Keller are physically situated at the following location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.
What is the Kelly Rene Keller's specialty and taxonomy code?
The Kelly Rene Keller's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did the Kelly Rene Keller receive its 1093916744?
The Kelly Rene Keller was issued its 1093916744 on 2007-05-30, which is the date when the organization was assigned this unique identifier.
When was the information regarding Kelly Rene Keller, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly Rene Keller, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-12-29.
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