Individual
MRS. LEE ANN GRAINGER KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, RN
Contact information
Practice address
141 HOSPITAL DR STE 102, SALEM, KY 42078-8043
(270) 988-3298
(270) 988-4642
Mailing address
1860 J H O'BRYAN AVE, GRAND RIVERS, KY 42045
(270) 362-8246
(270) 362-9757
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
1099069
KY
363LF0000X
Family Nurse Practitioner
3006643
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3006643
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006643
KBN
KY
05
—
7100160340
—
KY
Enumeration date
08/09/2010
Last updated
08/09/2021
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