Individual
JAMIE LYNN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8487
(614) 293-8153
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-8487
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.088951
OH
207L00000X
Anesthesiology Physician
H1974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0332371-01
—
TX
05
—
2731904
—
OH
01
—
H1974
LICENSE NUMBER
TX
Enumeration date
01/17/2007
Last updated
10/15/2018
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