Individual
JENNIFER ANNE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
60 SUMMERFIELD CT, SUITE 102, ROANOKE, VA 24019-4579
(540) 904-1458
(855) 495-0994
Mailing address
60 SUMMERFIELD CT, SUITE 102, ROANOKE, VA 24019-4579
(540) 904-1458
(855) 495-0994
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103300725
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009304291
—
VA
01
—
480032174
RAILROAD MEDICARE
VA
Enumeration date
01/25/2006
Last updated
08/06/2014
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