Individual
BETH KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
108 E 20TH AVE, TORRINGTON, WY 82240-2812
(307) 269-0947
Mailing address
1315 HOWE RD, LARAMIE, WY 82070-6888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44270
WY
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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