Individual
TARA CAROLINE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 475-8922
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 585-5505
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRNCRNA020014
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/25/2019
Last updated
01/15/2020
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