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Individual

MRS. KATHRYN I KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5908 E STOP 11 RD, INDIANAPOLIS, IN 46237-8683
(317) 497-6800
(317) 497-6801
Mailing address
5545 E STOP 11 RD, INDIANAPOLIS, IN 46237-8616
(317) 497-6800
(317) 497-6801

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01046943A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200163300
IN
Enumeration date
09/13/2006
Last updated
11/27/2023
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