Individual
CHRISTINE ALLISON KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
638 PINE ST, MUKWONAGO, WI 53149-1247
(262) 363-5608
Mailing address
638 PINE ST, MUKWONAGO, WI 53149-1247
(262) 363-5608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
105169030
WI
163WM0102X
Maternal Newborn Registered Nurse
105169030
WI
163WN0002X
Neonatal Intensive Care Registered Nurse
105169030
WI
163WN0003X
Low-Risk Neonatal Registered Nurse
105169030
WI
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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