Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | APN.0994892-NP | CO |
N | 207QG0300X | Family Doctor - Geriatric Medicine | APN.0994892-NP | CO |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | APN.0994892-NP | CO |
NPI | 1679129118 |
---|---|
Provider Name | Brittney Paige Keys |
First Address | Pueblo, CO 81005-3353 |
Second Address | Pueblo, CO 81005-2175 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2019 |
Last Update Date | 12/08/2019 |