Individual
BRITTANY L. KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3283 MALCOLM DR, SUITE 105, MONTGOMERY, AL 36116-8816
(334) 356-9970
(334) 356-9873
Mailing address
PO BOX 660257, BIRMINGHAM, AL 35266-0257
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-107535
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9226034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009994005
—
AL
05
—
306926500
—
FL
01
—
59178101
BLUECROSS BLUESHIELD
AL
01
—
G3673
BLUECROSS BLUESHIELD
FL
Enumeration date
08/12/2005
Last updated
06/27/2013
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