Individual
LISA GEORGINA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
712 SOUTH AVE, PITTSBURGH, PA 15221-2940
(412) 371-7391
Mailing address
815 ORCHARD ST, IRWIN, PA 15642-3813
(724) 861-8719
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN224203L
PA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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