Individual
BRENDA S KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
582 N CABLE RD, LIMA, OH 45805-2133
(419) 996-2500
(419) 996-2509
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-0001
(513) 981-5123
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP06892
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2324514
—
OH
Enumeration date
02/02/2006
Last updated
07/07/2015
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