Keller, Brenda K

Keller, Brenda K is an individual health care provider with primary practice located at 4908 Cass St , Omaha NE 68132-2913. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Keller, Brenda K can be contacted via phone (402) 249-6136.

Contact Information

Primary practice address
4908 Cass St Omaha NE 68132-2913
Fax: (402) 502-6823
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 18749 Nebraska
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18749 Nebraska

Profile Details

NPI number 1962451260
LBN Legal business name Keller, Brenda K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Aug 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962451260 NPPES
Iowa MEDICAID 1962451260
Iowa MEDICAID 10026724400
Iowa MEDICAID 1962451260

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