Individual
JULIE ANN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
922 LINCOLN AVE, HARVEY, ND 58341-1524
(701) 324-4856
(701) 324-4858
Mailing address
922 LINCOLN AVE, HARVEY, ND 58341-1524
(701) 324-4856
(701) 324-4858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0112
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10310
—
ND
01
—
12048
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/30/2006
Last updated
07/08/2007
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