Individual
CODI KEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W HICKORY ST, DEMING, NM 88030-4046
(575) 546-2174
(575) 544-4821
Mailing address
PO BOX 2267, SANTA FE, SANTA FE, NM 87504-2267
(505) 954-2303
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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