Individual
CARA CHILDERS KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
950 BRECKENRIDGE LN STE 200, LOUISVILLE, KY 40207-5929
(502) 893-6777
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(270) 326-3949
(270) 326-3954
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35.129262
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
49687
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K256920
MEDICARE
KY
Enumeration date
05/01/2012
Last updated
12/07/2020
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