Individual
ELENA R KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1726 N 15TH ST, BISMARCK, ND 58501-2023
(701) 527-1682
Mailing address
1715 CALGARY LOOP, BISMARCK, ND 58503-0990
(701) 527-1682
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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