Samantha Keller, CDM

NPI #1407249121 in Wasilla, Alaska

Provider Information

NPI Number: 1407249121
Entity Type: Individual
Name: Samantha Keller, CDM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Midwife, Lay
Credential: CDM
Enumeration Date: Mar 5, 2015
Last Updated: Mar 5, 2015

Practice Location

Address: 2650 E BROADVIEW AVE
City: Wasilla
State: Alaska
ZIP Code: 99654-8302
Phone: (907) 373-3420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife, Lay	175M00000X	Primary

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Organizations

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