Keller, Patricia P
Keller, Patricia P is an individual health care provider with primary practice located at 6144 Stella Light Dr , Flowery Branch GA 30542-3451. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is her primary health care specialty. Keller, Patricia P can be contacted via phone (770) 940-0185.Contact Information
Primary practice address
6144 Stella Light Dr
Flowery Branch GA 30542-3451
Phone: (770) 940-0185
Fax: (949) 437-3333
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | ||
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | 92821 | Georgia |
Profile Details
NPI number | 1134278419 |
---|---|
LBN Legal business name | Keller, Patricia P |
Credentials | C.S.A. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 2007 |
Last updated | Nov 7th, 2022 - about 2 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 | 1134278419 | NPPES |
Georgia | Other | 92821 | NBSTSA CERTIFICATION CST/CSFA |
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