Keller, Destiny C
Keller, Destiny C is an individual health care provider with primary practice located at 4304 Carlisle Blvd Ne , Albuquerque NM 87107-4811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Keller, Destiny C can be contacted via phone (505) 888-1075.Contact Information
Primary practice address
4304 Carlisle Blvd Ne
Albuquerque NM 87107-4811
Phone: (505) 888-1075
Fax: (505) 888-1082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2016-0058 | New Mexico |
Profile Details
| NPI number | 1336692730 |
|---|---|
| LBN Legal business name | Keller, Destiny C |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2016 |
| Last updated | Aug 2nd, 2016 - about 9 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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