Individual
ASHLEY A KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(414) 955-0231
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(414) 955-0231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
195657
WI
363L00000X
Nurse Practitioner
Primary
14843-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912638081
—
WI
Enumeration date
06/21/2022
Last updated
06/24/2024
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