Keller, Kristina Marie
Keller, Kristina Marie is an individual health care provider with primary practice located at 980 N Main St , Prineville OR 97754. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Keller, Kristina Marie can be contacted via phone (541) 447-0707.Contact Information
Primary practice address
980 N Main St
Prineville OR 97754
Phone: (541) 447-0707
Fax: (541) 447-0708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Oregon |
Profile Details
| NPI number | 1568476224 |
|---|---|
| LBN Legal business name | Keller, Kristina Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568476224 | NPPES |
| Oregon | Other | H682402 | PACIFIC SOUTH HEALTH PLAN |
| Oregon | Other | H682421 | PACIFIC SOUTH HEALTH PLAN |
| Oregon | MEDICAID | 182960 | PACIFIC SOUTH HEALTH PLAN |
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