Individual
LAURA LYNN KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1001 HEATHER DR, MAHOMET, IL 61853-2754
(217) 586-8480
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
041369089
IL
363LF0000X
Family Nurse Practitioner
Primary
209026081
IL
Other
Enumeration date
08/08/2022
Last updated
05/06/2025
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