Individual
LYNN P KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1701 CURTIS RD, CHAMPAIGN, IL 61822-9678
(217) 365-2849
(217) 365-2854
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209016595
IL
363LF0000X
Family Nurse Practitioner
Primary
209016595
IL
Other
Enumeration date
09/20/2017
Last updated
04/29/2026
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