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NPI Code Detail

MEDICARE: KEELY K DRIGGS

MEDICARE: KEELY K DRIGGS
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
1172V00000XCommunity Health WorkerOR

General Provider Information

NPI Number : 1790455707
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEELY K DRIGGS
Provider Business Mailing Address
First Line : 231 LYON ST SE
Second Line :
City : ALBANY
State : OR
Zip : 97321-2707
Country : US
Telephone Number : 541-791-3411
Fax Number :
Provider Business Practice Location Address
First Line : 231 LYON ST SE
Second Line :
City : ALBANY
State : OR
Zip : 97321-2707
Country : US
Telephone Number : 541-791-3911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2021
Last Update Date : 09/20/2021

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Directions to “ KEELY K DRIGGS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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