Individual
JANA KEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 MOUNTAIN VIEW ST, POWELL, WY 82435-2212
(307) 754-7257
Mailing address
450 MOUNTAIN VIEW ST, POWELL, WY 82435-2212
(307) 754-7257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
444
WY
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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