Keller, Mia G

Keller, Mia G is an individual health care provider with primary practice located at 6909 S Holly Cir Ste 304 , Centennial CO 80112-1045. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Psychiatry. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Keller, Mia G can be contacted via phone (720) 729-7372.

Contact Information

Primary practice address
6909 S Holly Cir Ste 304 Centennial CO 80112-1045
Phone: (720) 729-7372
Fax: (720) 202-1681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN.0997865-NP Colorado
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X APN.0997865-NP Colorado

Profile Details

NPI number 1528659737
LBN Legal business name Keller, Mia G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2021
Last updated Dec 30th, 2025 - about last year

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 1528659737 NPPES
Colorado MEDICAID 9000207666

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