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NPI Code Detail

MEDICARE: BRITTANY L. KELLER CRNA

MEDICARE: BRITTANY L. KELLER CRNA
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
1367500000XCertified Registered Nurse AnesthetistARNP9226034FL
2367500000XCertified Registered Nurse Anesthetist1-107535AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
259178101OTHERALBLUECROSS BLUESHIELD
3G3673OTHERFLBLUECROSS BLUESHIELD
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508868126
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY L. KELLER CRNA
Provider Business Mailing Address
First Line : PO BOX 660257
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35266-0257
Country : US
Telephone Number : 205-979-5882
Fax Number : 205-979-1248
Provider Business Practice Location Address
First Line : 3283 MALCOLM DR
Second Line : SUITE 105
City : MONTGOMERY
State : AL
Zip : 36116-8816
Country : US
Telephone Number : 334-356-9970
Fax Number : 334-356-9873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 06/27/2013

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Directions to “ BRITTANY L. KELLER CRNA” Practice Location

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