Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND.0000206 | CO |
N | 175L00000X | Homeopath |
NPI | 1679173553 |
---|---|
Provider Name | Dr. Shayna Louise Keller |
First Address | Hotchkiss, CO 81419-3705 |
Second Address | Hotchkiss, CO 81419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2020 |
Last Update Date | 16/08/2021 |