Individual
MRS. JILL S KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
226 MILL HILL AVE, 3RD FLOOR, BRIDGEPORT, CT 06610-2826
(203) 384-3394
(203) 384-3829
Mailing address
PO BOX 415126, BOSTON, MA 02241-5126
(203) 384-3975
(203) 384-3829
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003349
CT
Other
Enumeration date
02/05/2007
Last updated
02/03/2010
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