Individual
DR. AMANDA MARIE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7050 WATTS RD, MADISON, WI 53719-1365
(608) 274-4084
(608) 274-4031
Mailing address
7275 CLOVER HILL DR, WAUNAKEE, WI 53597-9451
(608) 335-3221
(608) 274-4031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3179-35
WI
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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