Individual
MEGDALIN ROSE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 252-2477
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
363L00000X
Nurse Practitioner
Primary
A192428
IA
Other
Enumeration date
06/24/2025
Last updated
07/20/2026
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