Darst, Keeli Sue

Darst, Keeli Sue is an individual health care provider with primary practice located at 1009 S Broadway St , La Porte TX 77571-5327. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Darst, Keeli Sue can be contacted via phone (281) 941-4174.

Contact Information

Primary practice address
1009 S Broadway St La Porte TX 77571-5327
Phone: (281) 941-4174
Fax: (281) 941-4692
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1010232 Texas

Profile Details

NPI number 1629665724
LBN Legal business name Darst, Keeli Sue
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2020
Last updated Dec 23rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629665724 NPPES
Texas Other 1010232 STATE LICENSE
Texas Other 1010232 STATE LICENSE

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