Samantha Keller, CDM Valid NPI
Individual provider · Lay Midwife · Wasilla, AK
- NPI
- 1407249121
- Type
- Individual (Type 1)
- Primary specialty
- Lay Midwife (Midwife, Lay)
- Specialty group
- Other Service Providers
- Taxonomy code
- 175M00000X
- License number
- 76 (AK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-03-05
- Last updated
- 2015-03-05
Practice location
2650 E Broadview Ave
Wasilla, AK 99654-8302
(907) 373-3420