Individual
EMILY N KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
335 GLESSNER AVE FL MOB2, MANSFIELD, OH 44903-2269
(567) 241-7700
(567) 241-7719
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
(614) 544-6155
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.005302RX
OH
363AS0400X
Surgical Physician Assistant
50.005302RX
OH
Other
Enumeration date
10/11/2017
Last updated
01/25/2022
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