Individual
JENNIFER NEMUNAITIS KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1130 MEDICAL ARTS BLVD STE 250, ANDERSON, IN 46011-3431
(765) 298-4282
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01056523A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312570
ANTHEM
IN
05
—
200387910
—
IN
01
—
P01026930
RR MEDICARE
IN
Enumeration date
07/22/2006
Last updated
07/11/2023
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