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General NPI Number Information
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NPI Number | 1023570694
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Entity Type | Individual
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Provider Name | KRISTEN KEELEY MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 291 N FIREWEED ST
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City | SOLDOTNA
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State | AK
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Zip | 99669-7540
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Country | US
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Telephone | 907-714-5950
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Fax | 907-416-7681
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Provider Business Mailing Address
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Address Line | 250 HOSPITAL PL
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City | SOLDOTNA
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State | AK
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Zip | 99669-6999
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Country | US
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Telephone | 907-714-4038
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Fax | 907-262-5191
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 34867
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 234050
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 34867
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2019022919
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License Number State | MO
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