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DR. NANCY KELLER MD
NPI 1063496602
Family Medicine in Coquille, OR

Active since December 06, 2005
790 E 5TH ST, COQUILLE, OR 97423(541) 396-3111(541) 396-5891 Get Directions Write a Review

NPPES record last updated: March 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nancy Keller Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NANCY KELLER MD (NPI 1063496602) is an individual family medicine provider in Coquille, Oregon, licensed in Oregon (MD18038) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1063496602
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NANCY KELLERCredential: MD
Location Address790 E 5TH STCoquille, OR 97423-1755
Mailing Address1900 Woodland DrCoos Bay, OR 97420-0000 · (541) 267-5151 · Fax (541) 266-4501
Phone(541) 396-3111
Fax(541) 396-5891
Sole ProprietorYes
Enumeration DateDecember 6, 2005
Last NPPES UpdateMarch 23, 2010
✔ NPI 1063496602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD18038
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

790 E 5TH ST, Coquille, OR 97423
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Other Identifiers 9

Other080041637OR · Rr Medicare Ptan Number
Other930635514OR · Group Tax Id Number
Other1407812365OR · Nbmc Npi Number-group
Medicare UPINF33809OR
Medicare NSC0577260001OR
OtherCD8723OR · Rr Medicare Group Number
OtherR0000WFBTVOR · Medicare Group Pin Number
Medicaid043831OR
Medicare PINR112422OR

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERMAN SIERRA FERRER MD
Family Medicine
790 E 5TH ST
COQUILLE, OR 97423
Coos County (541) 396-3111
SUSAN K SINNOTT MS, LMFT, LD
Marriage & Family Therapist
790 E 5TH ST
COQUILLE, OR 97423
Coos County (541) 396-3111
AMANDA KRANTZ FNP-C
Nurse Practitioner (Family)
790 E 5TH ST
COQUILLE, OR 97423
Coos County (541) 396-7295
MEGAN M HOLLAND MD
Family Medicine
790 E 5TH ST
COQUILLE, OR 97423
Coos County (541) 396-3111
ADHARSH RAVINDRAN MBBS
Internal Medicine
790 E 5TH ST
COQUILLE, OR 97423
Coos County (541) 396-3111
DR. JOHN WILLIAM BRAZER MD
Family Medicine
790 E 5TH ST
COQUILLE, OR 97423
Coos County (541) 396-3111
DR. WILLIAM B CROSON MD
Pain Medicine (Pain Medicine)
790 E 5TH ST
COQUILLE, OR 97423
Coos County (541) 396-3111
DR. ROGER CECIL WILLIS MD
Family Medicine
790 E 5TH ST
COQUILLE, OR 97423
Coos County (541) 396-7295

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nancy Keller's NPI number?

The NPI number for Nancy Keller is 1063496602. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Nancy Keller located?

Nancy Keller practices at 790 E 5th St, Coquille, OR 97423. The listed phone number is (541) 396-3111.

What is Nancy Keller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Nancy Keller was last updated on March 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.