LISA ELLEN KECKLER

LOUISVILLE, CO
NPI1457575037
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: CO  0191601)
Additional Taxonomies363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: CA  NP378406)
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: CO  0191601)
Enumeration Date2007-04-13
Last Update Date2014-03-04
Business Address
-- LISA ELLEN KECKLER NP
100 HEALTH PARK DR
LOUISVILLE, CO 80027-9583
Phone number: 303-673-1102
Mailing Address
-- LISA ELLEN KECKLER NP
15774 W WEDGE WAY
MORRISON, CO 80465-2146
Phone number: 209-345-6690