Individual
JOY KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDM
Contact information
Practice address
2054 30TH AVE, FAIRBANKS, AK 99701-7316
(907) 456-3719
(907) 456-1511
Mailing address
2054 30TH AVE, FAIRBANKS, AK 99701-7316
(907) 456-3719
(907) 456-1511
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
AA54
AK
Other
Enumeration date
02/28/2008
Last updated
10/20/2016
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