Mary Jean Keller is a Family in Springfield, Missouri. Mary Jean Keller practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Jean Keller is 1073678033. The last update date is 2019-10-23.
Mary Jean Keller's current location address is 3525 S National Ave Ste 207, Springfield, Missouri. You can contact this provider via phone number 4172699220 and fax number 4172699229. The mailing address for Mary Jean Keller is 3525 S National Ave Ste 207, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jean Keller |
|---|---|
| Address | 3525 S National Ave Ste 207, Springfield, Missouri |
| Phone Number | 4172699220 |
| Fax Number | 4172699229 |
| Sole Proprietor | N |
| Credentials | RN, NP |
NPI Number Detail
| NPI Number | 1073678033 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2019-10-23 |
Provider Mailing Address Detail
| Address | 3525 S National Ave Ste 207 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658077315 |
| Phone Number | 4172699220 |
| Fax Number | 4172699229 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 91099 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00635675 | MO | TRAVELERS RR MEDICARE | |
| 1073678033 | MO | -- | |
| 171101758 | AR | -- | |
| 431560263 | MO | TRICARE WEST |
Post Comment/ Review Below
What is the Mary Jean Keller's 1073678033?
The Mary Jean Keller's NPI (National Provider Identifier) Number is 1073678033. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary Jean Keller's physical address?
The Mary Jean Keller is physically located at 3525 S National Ave Ste 207, in the city of Springfield, MO, with the postal code 658077315.
What is Mary Jean Keller's area of expertise and its corresponding taxonomy classification?
The Mary Jean Keller's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
When did the Mary Jean Keller receive its 1073678033?
The Mary Jean Keller was issued its 1073678033 on 2006-12-27, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mary Jean Keller, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Jean Keller, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-10-23.