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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDREY LYNN KELLER, PA-C

Active

AUDREY LYNN KELLER, PA-C is a Physician Assistant healthcare provider located in BALDWIN, Michigan. NPI 1003991530 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BALDWIN, MI

Registration Details

NPI Number
1003991530
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2006 (19.795308539027 yrs)
Last Updated
Dec 29, 2014
Licenses
CO2225 (CO)
5601005193 (MI)
22536 (CA)

Practice Information

Address
525 4TH ST
BALDWIN, MI, 493049518
Browse MI providers · Browse ZIP 49304
Phone
2317453116
Fax
2317453136
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in BALDWIN, MI

Name Credential NPI
MATTHEW J STEEL PA 1376571182
WANDA JEAN OTTINGER PA-C 1306875604
REBECCA M GANZOW-FORTIER PA-C 1194812180
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.