Individual
MS. STEPHANIE R KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
550 E TIMBER DR, RHINELANDER, WI 54501-2894
(715) 226-9232
(949) 862-7646
Mailing address
550 E TIMBER DR STOP 1, RHINELANDER, WI 54501-2894
(715) 226-9232
(949) 862-7646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1658
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41980300
—
WI
Enumeration date
09/15/2006
Last updated
04/21/2023
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