Whalio Doctors

NPI 1063496602

Nancy Keller, MD

Practitioner Family Medicine Physician Coquille, OR

Practice location

Address
790 E 5th St, Coquille, OR 97423-1755
Phone
(541) 396-3111
Fax
(541) 396-5891
Mailing address
1900 Woodland Dr, Coos Bay, OR 97420-0000

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD18038 (OR)

Registry record

NPI
1063496602
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Dec 2005
Record last updated
23 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.