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NPI Code Detail

MEDICARE: BOBBI KEYSER DNP

MEDICARE:   BOBBI  KEYSER  DNP
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
1163WG0000XGeneral Practice Registered Nurse202008767RNOR
2363L00000XNurse Practitioner10031226OR

General Provider Information

NPI Number : 1669133427
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOBBI KEYSER DNP
Provider Business Mailing Address
First Line : 2825 E BARNETT RD # MSS
Second Line :
City : MEDFORD
State : OR
Zip : 97504-8332
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2841 AVENUE G STE 100
Second Line :
City : WHITE CITY
State : OR
Zip : 97503-3030
Country : US
Telephone Number : 541-826-5252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2022
Last Update Date : 08/29/2024

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