Individual
JANE M KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3421 W 9TH ST, SUITE G4500, WATERLOO, IA 50702-5401
(319) 233-8865
(319) 272-0400
Mailing address
3421 W 9TH ST STE G4500, WATERLOO, IA 50702-5401
(319) 272-8200
(319) 272-0400
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
077228
IA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
A077228
IA
Other
Enumeration date
01/06/2006
Last updated
05/10/2019
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