DIANNE KELLER M.D. NPI 1902996150

NPI Information

NPI: 1902996150
Provider Name: DIANNE KELLER, M.D.
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Individual

Specialization: Addiction Psychiatry

Address:
2502 N DODGE BLVD
SUITE 190
TUCSON, AZ
ZIP 85716
Phone: (520) 490-4266
Get Directions

Dianne Keller, M.D. is an addiction psychiatry psychiatry neurology in Tucson, AZ. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. Dianne Keller, M.D. NPI is 1902996150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2502 N DODGE BLVD
SUITE 190
TUCSON, AZ
ZIP 85716-671
Phone: (520) 490-4266
Fax: (520) 617-1608

The enumeration date for this NPI number is 10/16/2006 and was last updated on 2/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	20611	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	113324	MEDICAID	ARIZONA
2	F30073	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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