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Individual

TARA RENEE KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4340 CLYO RD, DAYTON, OH 45459-7000
(937) 534-7330
Mailing address
356 N HAAS ST, FRANKENMUTH, MI 48734-1106
(989) 293-4806

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1248198
OH
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/06/2025
Last updated
07/28/2026
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