Individual
MRS. JENNIFER M KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
100 HUNTSINGER AVE, PARK RAPIDS, MN 56470
(218) 732-3389
(218) 732-5994
Mailing address
100 HUNTSINGER AVE, PARK RAPIDS, MN 56470
(218) 732-3389
(218) 732-5994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3236
MN
Other
Enumeration date
06/30/2011
Last updated
12/03/2018
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