Individual
DANIELLE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8135 CALUMET AVE, MUNSTER, IN 46321-1701
(219) 513-2000
(219) 513-2001
Mailing address
8135 CALUMET AVE, MUNSTER, IN 46321-1701
(219) 513-2000
(219) 513-2001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023962
IL
363LF0000X
Family Nurse Practitioner
71011448A
IN
Other
Enumeration date
07/02/2021
Last updated
08/16/2022
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