Individual
KAITLIN MARIE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3116 N DUKE ST, DURHAM, NC 27704-2102
(919) 620-5333
(919) 471-8653
Mailing address
5105 PAPERBARK CT, DURHAM, NC 27713-1399
(309) 369-7196
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5016813
NC
363LP0200X
Pediatric Nurse Practitioner
BACK-W2YUI
IL
Other
Enumeration date
08/29/2022
Last updated
10/03/2024
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