Individual
SALLY D KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1801 N TEMPLE AVE, STARKE, FL 32091-1960
(904) 964-7732
(904) 964-3024
Mailing address
1801 N TEMPLE AVE, STARKE, FL 32091-1960
(904) 964-7732
(904) 964-3024
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP 511742
FL
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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