Individual
MS. LAUREN CHRISTINE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
126 ASHTON PARK, PEACHTREE CITY, GA 30269-3663
(901) 651-3944
Mailing address
126 ASHTON PARK, PEACHTREE CITY, GA 30269-3663
(901) 651-3944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNM.019354
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNM.019354
APRN LICENSE
OH
Enumeration date
03/21/2007
Last updated
04/01/2021
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