Individual
DR. JACLYN ANN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
126 CHARLES ST, OCONTO, WI 54153-9446
(920) 834-5251
Mailing address
126 CHARLES ST, OCONTO, WI 54153-9446
(920) 834-5251
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3228-35
WI
Other
Enumeration date
06/22/2011
Last updated
08/27/2013
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