Keller, Kimberly Anne

Keller, Kimberly Anne is an individual health care provider with primary practice located at 125 Florida Memorial Pkwy Suite 2600, New Smyrna Beach FL 32168-9356. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Keller, Kimberly Anne can be contacted via phone (386) 409-6864.

Contact Information

Primary practice address
125 Florida Memorial Pkwy Suite 2600 New Smyrna Beach FL 32168-9356
Phone: (386) 409-6864
Fax: (386) 409-6813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS10013 Florida

Profile Details

NPI number 1366481483
LBN Legal business name Keller, Kimberly Anne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Oct 22nd, 2015 - about 11 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 1366481483 NPPES
Florida Other 04125 BCBS OF FL
Florida MEDICAID 2184498 BCBS OF FL
Florida MEDICAID 279180300 BCBS OF FL

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