Individual
STACEY LYNN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7072 MEARS GATE DR NW, NORTH CANTON, OH 44720-8850
(330) 966-1319
(330) 966-1321
Mailing address
7072 MEARS GATE DR NW, NORTH CANTON, OH 44720-8850
(330) 966-1319
(330) 966-1321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50-003643
OH
363AM0700X
Medical Physician Assistant
Primary
50003643
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086155
—
OH
Enumeration date
10/15/2012
Last updated
03/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us