Individual
GAYLE LYNETTE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3307 BARADA ST, FALLS CITY, NE 68355-2470
(402) 245-4475
(402) 245-6651
Mailing address
3307 BARADA ST, PO BOX 399, FALLS CITY, NE 68355-2470
(402) 245-4475
(402) 245-6651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110530
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47052851510
—
NE
01
—
47386
BLUE CROSS BLUE SHIELD
NE
Enumeration date
06/06/2006
Last updated
09/29/2011
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