Individual
MEGDALIN ROSE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3500
Mailing address
518 RIVERVIEW RD, PO BOX 603, PONCA, NE 68770
(402) 508-0223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
99045
NE
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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