Individual
MARTHA JANE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LSW
Contact information
Practice address
2458 STETZER RD, BUCYRUS, OH 44820
(419) 562-2000
(419) 562-1296
Mailing address
PO BOX 756, BUCYRUS, OH 44820
(419) 562-2000
(419) 562-1296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
S-0002135
OH
163WG0000X
General Practice Registered Nurse
Primary
RN159127
OH
Other
Enumeration date
10/04/2006
Last updated
09/11/2025
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