Individual
MRS. ANDREA R KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
2621 VICTORY PKWY, CINCINNATI, OH 45206-1754
(513) 242-7164
Mailing address
2600 VICTORY PKWY, CINCINNATI, OH 45206-1395
(513) 751-7747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.15614-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097935
—
OH
Enumeration date
02/12/2014
Last updated
03/17/2022
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