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NPI Code Detail

MEDICARE: FRANCES GRACE KELLER FNP-CS

MEDICARE:   FRANCES GRACE KELLER  FNP-CS
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
1363LF0000XFamily Nurse PractitionerARNP 579162FL

General Provider Information

NPI Number : 1366429664
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES GRACE KELLER FNP-CS
Provider Business Mailing Address
First Line : 6705 PINE FOREST RD STE 505
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-6909
Country : US
Telephone Number : 850-912-6588
Fax Number : 850-912-6598
Provider Business Practice Location Address
First Line : 6705 PINE FOREST RD
Second Line : SUITE505
City : PENSACOLA
State : FL
Zip : 32526-6909
Country : US
Telephone Number : 850-912-6588
Fax Number : 850-912-6598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 08/19/2015

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Directions to “ FRANCES GRACE KELLER FNP-CS” Practice Location

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