Provider Demographics
NPI:1952794505
Name:KECK, VALERIE ARIEL (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ARIEL
Last Name:KECK
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 W BARTON ST
Mailing Address - Street 2:APT A
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-2918
Mailing Address - Country:US
Mailing Address - Phone:336-340-6954
Mailing Address - Fax:
Practice Address - Street 1:201 E WENDOVER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1205
Practice Address - Country:US
Practice Address - Phone:336-832-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007511363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health