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NPI Code Detail

MEDICARE: ASHLEY ANN KELLER LPN

MEDICARE: ASHLEY ANN KELLER LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLPN.LP.70021970.MSLWA

General Provider Information

NPI Number : 1134085541
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY ANN KELLER LPN
Provider Business Mailing Address
First Line : 15209 FRENCHIE LN SE
Second Line :
City : YELM
State : WA
Zip : 98597-1009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11702 YELM HWY SE
Second Line :
City : OLYMPIA
State : WA
Zip : 98513-9109
Country : US
Telephone Number : 360-413-3039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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