Keller, Lisa Kay

Keller, Lisa Kay is an sole proprietor health care provider with primary practice located at 940 Royal Avenue Suite 350, Medford OR 97504-6194. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Keller, Lisa Kay can be contacted via phone (541) 732-7460.

Contact Information

Primary practice address
940 Royal Avenue Suite 350 Medford OR 97504-6194
Phone: (541) 732-7460
Fax: (541) 732-7461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G38545 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD27247 Oregon

Profile Details

NPI number 1497780795
LBN Legal business name Keller, Lisa Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Aug 22nd, 2022 - about 3 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 1497780795 NPPES
California MEDICAID 00G385451

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