Doctor Name: | MS. KELLY ALEEN KEYS |
NPI Number: | 1538437611 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | AP60438941 |
Business Practice Address: | 390 Founders Way Forks, WA - 983319062 |
Business Phone Number: | 3603746998 |
Business Fax Number: | 3603743162 |
Mailing Address: | 390 Founders Way, FORKS |
State: | WA |
Postal Code: | 983319062 |
Phone Number: | 3603746998 |
Fax Number: | 3603743162 |
NPI Enumeration Date: | 12/05/2011 |
NPI Last Update Date: | 05/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP60438941 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |