Individual
MRS. JENNIFER L KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
170 GRANDVIEW AVE STE 1, WATERBURY, CT 06708-2577
(203) 759-3666
Mailing address
209 NORFOLK RD, LITCHFIELD, CT 06759-2514
(860) 201-7855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
134738
CT
363LF0000X
Family Nurse Practitioner
Primary
12.009086
CT
Other
Enumeration date
06/27/2020
Last updated
11/12/2020
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