Individual provider · NPI-1

Keely Bankert

Nurse Practitioner, Family · Canton, OH

NPI number1982008496
StatusActive
Last updated in NPPESApr 11, 2025

Details

NPI
1982008496
Entity type
Individual (NPI-1)
Name
Keely Bankert
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 13, 2014
Certification date
Apr 11, 2025
Last updated
Apr 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN.CNP.16652OHYes

Other names

  • Keely Frasier (Former Name)

Practice location

4235 Tuscarawas St W
Canton, OH 44708-5424

Phone 234-203-4232 · Fax 330-266-4386

Mailing address

Po Box 746071
Atlanta, GA 30374-6071

Phone 312-733-9730 · Fax 773-866-8014

Other practice locations

2600 6th St Sw
Canton, OH 44710-1702

Phone 330-456-2695 · Fax 330-588-8605

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