Individual
MS. LEEANN RENEE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-8288
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0991131-NP
CO
363LA2200X
Adult Health Nurse Practitioner
APN.0991131-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0991131-NP
CO
Other
Enumeration date
11/21/2006
Last updated
05/08/2024
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