Individual
JAMIE JO KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4303 STATE HIGHWAY 42, STURGEON BAY, WI 54235-9620
(920) 559-7570
Mailing address
4303 STATE HIGHWAY 42, STURGEON BAY, WI 54235-9620
(920) 559-7570
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
134939
WI
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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