Individual
ELIZABETH KAY KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
1485 KANSAS AVE, SAN LUIS OBISPO, CA 93405
(805) 754-2037
(805) 357-6509
Mailing address
1282 CHAPARRAL CIR, SAN LUIS OBISPO, CA 93401-7698
(805) 234-8985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006481
CA
Other
Enumeration date
04/11/2017
Last updated
11/15/2024
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