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NPI Code Detail

MEDICARE: AMBER L KECK HILL PA-C

MEDICARE: AMBER L KECK HILL PA-C
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
1363A00000XPhysician Assistant2297SC

General Provider Information

NPI Number : 1336529981
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER L KECK HILL PA-C
Provider Business Mailing Address
First Line : 1 OPTUM CIR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-2956
Country : US
Telephone Number : 800-491-0909
Fax Number :
Provider Business Practice Location Address
First Line : 1 OPTUM CIR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-2956
Country : US
Telephone Number : 800-491-0909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2015
Last Update Date : 03/17/2026

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