Individual
JAYNA KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W 3RD ST, PONCA, NE 68770-0603
(402) 755-2216
Mailing address
PO BOX 603, PONCA, NE 68770-0603
(402) 755-2216
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
722
NE
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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