Doctor Name: | MRS. JANE KATHERINE KELDERMAN |
NPI Number: | 1053551754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW, ACADC |
License Number: | 03905 |
Business Practice Address: | 114 1st Ave E Oskaloosa, IA - 525773127 |
Business Phone Number: | 6416600352 |
Business Fax Number: | |
Mailing Address: | 1004 C. Ave East, OSKALOOSA |
State: | IA |
Postal Code: | 52577 |
Phone Number: | 6416600352 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2009 |
NPI Last Update Date: | 02/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 03905 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |