Individual
MARY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 825-1604
Mailing address
417 TOHICKON AVE, QUAKERTOWN, PA 18951-1342
(215) 536-3237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN328000L
PA
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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