Individual
JENNIFER KEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
255 W SPRUCE ST, SHAMOKIN, PA 17872-5811
(570) 644-5050
Mailing address
255 W SPRUCE ST, SHAMOKIN, PA 17872-5811
(570) 644-5050
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002420L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015644200005
—
PA
01
—
01025201
KHP/B
PA
01
—
044893
SR/BL
PA
01
—
104839
B/LUN
PA
Enumeration date
07/08/2006
Last updated
01/18/2011
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