Individual
DR. JENNIFER L KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
300 SE 2ND ST, LEES SUMMIT, MO 64063-2759
(816) 404-6106
Mailing address
300 SE 2ND ST, LEES SUMMIT, MO 64063-2759
(816) 404-6106
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2010004829
MO
103TC0700X
Clinical Psychologist
2817
TN
Other
Enumeration date
12/12/2006
Last updated
04/13/2023
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