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
Phone: (402) 249-6136
Fax: (402) 502-6823
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962451260 | NPPES |
Iowa | MEDICAID | 1962451260 | |
Iowa | MEDICAID | 10026724400 | |
Iowa | MEDICAID | 1962451260 |
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