LYNN SECUNDE KELLER NP NPI 1124512850

NPI Information

NPI: 1124512850
Provider Name: LYNN SECUNDE KELLER, NP
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
1477 PATTON DR
BOULDER, CO
ZIP 80303
Phone: (720) 989-8181
Get Directions

Lynn Secunde Keller, NP is a general practice registered nurse in Boulder, CO. Lynn Secunde Keller, NP NPI is 1124512850. 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:

1477 PATTON DR
BOULDER, CO
ZIP 80303-258
Phone: (720) 989-8181

The enumeration date for this NPI number is 6/16/2018 and was last updated on 6/16/2018.

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	163WG0000X	Registered Nurse	General Practice	130914	COLORADO	Yes
2	163WM1400X	Registered Nurse	Nurse Massage Therapist (NMT)	130914	COLORADO	No
3	363LA2200X	Nurse Practitioner	Adult Health	F302220-1	NEW YORK	No

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	F302220-1	OTHER		NY LICENSE
2	RN-130914	OTHER	COLORADO	RN LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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