Individual
SILENCE TIA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26020 STATE ROAD 145, BRISTOW, IN 47515-8865
(812) 357-2099
(812) 357-2097
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 996-8478
(812) 996-8497
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008549A
IN
363LF0000X
Family Nurse Practitioner
71008549A
IN
Other
Enumeration date
10/17/2018
Last updated
09/06/2021
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