Individual
MARY JEAN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
MARY KELLER, 785 ELKRIDGE LANDING SUITE #300, LINTHICUM HEIGHTS, MD 21090
(417) 379-7253
(844) 464-0583
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
091099
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073678033
—
MO
05
—
171101758
—
AR
01
—
431560263
TRICARE WEST
MO
01
—
P00635675
TRAVELERS RR MEDICARE
MO
Enumeration date
12/27/2006
Last updated
06/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us