Keller, Lee Ann Grainger

Keller, Lee Ann Grainger is an individual health care provider with primary practice located at 141 Hospital Dr Ste 102 , Salem KY 42078-8043. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Keller, Lee Ann Grainger can be contacted via phone (270) 988-3298.

Contact Information

Primary practice address
141 Hospital Dr Ste 102 Salem KY 42078-8043
Phone: (270) 988-3298
Fax: (270) 988-4642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 1099069 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006643 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3006643 Kentucky

Profile Details

NPI number 1700191228
LBN Legal business name Keller, Lee Ann Grainger
Credentials ARNP, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2010
Last updated Aug 9th, 2021 - about 3 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 1700191228 NPPES
Kentucky Other 3006643 KBN
Kentucky MEDICAID 7100160340 KBN

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