Individual
JODIE E KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4302 ALLEN RD STE 210, STOW, OH 44224-1076
(330) 344-7820
Mailing address
1085 ROY MARSH DR, KENT, OH 44240-2073
(330) 730-7083
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.023113
OH
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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