Individual
DR. JANE KIMBLE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1120 15TH ST, DEPARTMENT OF PHARMACY, AUGUSTA, GA 30912-0004
(706) 721-4815
Mailing address
1120 15TH ST, DEPARTMENT OF PHARMACY, AUGUSTA, GA 30912-0004
(706) 721-4815
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
21034
GA
Other
Enumeration date
07/07/2005
Last updated
12/09/2009
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