NPI Code Details Logo

NPI 1144781659

NPI 1144781659 : KRISTI J KELLER PHARMD : CRETE, NE

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1144781659
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KRISTI J KELLER PHARMD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/27/2019
-----------------------------------------------------
    Last Update Date     |    09/15/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2910 BETTEN DR 
-----------------------------------------------------
    City                 |    CRETE
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68333-3084
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    402-826-2102
-----------------------------------------------------
    Fax                  |    402-826-7951
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2151 COUNTY ROAD C 
-----------------------------------------------------
    City                 |    CRETE
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68333-4267
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    402-366-3409
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    12942
-----------------------------------------------------
    License Number State |    NE
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.