Individual
BRENDA K KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 GALLETTI WAY, BUILDING 8N, SPARKS, NV 89431-5564
(775) 688-1633
Mailing address
480 GALLETTI WAY, BUILDING 8N, SPARKS, NV 89431-5564
(775) 688-1633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN32107
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538405667
—
NV
Enumeration date
12/18/2012
Last updated
06/04/2014
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