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NPI Code Detail

MEDICARE: EMILY KELLER

MEDICARE:   EMILY  KELLER
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
1101YM0800XMental Health Counselor7561TN

General Provider Information

NPI Number : 1104640721
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY KELLER
Provider Business Mailing Address
First Line : 806 MERIDIAN ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37207-5850
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 806 MERIDIAN ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37207-5850
Country : US
Telephone Number : 615-219-9126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2024
Last Update Date : 11/11/2024

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Directions to “ EMILY KELLER ” Practice Location

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