Individual
AMY MARIE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
225 N 7TH ST, BISMARCK, ND 58501-4417
(701) 323-6140
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R40270
ND
363L00000X
Nurse Practitioner
Primary
R40270
ND
Other
Enumeration date
09/26/2019
Last updated
07/24/2020
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