Individual
DR. NANCY C KELLER-MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9261
(574) 237-9208
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9261
(574) 237-9208
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01034637A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100461970
—
IN
Enumeration date
10/25/2005
Last updated
07/10/2024
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