| Doctor Name: | CINDY J KELLER |
| NPI Number: | 1184642746 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 2062 |
| Business Practice Address: | 1806 E Fir Ave Suite 500 Fergus Falls, MN - 565373974 |
| Business Phone Number: | 2182052743 |
| Business Fax Number: | |
| Mailing Address: | Po Box 464, Suite 500 FERGUS FALLS |
| State: | MN |
| Postal Code: | 565380464 |
| Phone Number: | 2182052743 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 02/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 06/14/2013 |
| NPI Reactivation Date: | 02/10/2014 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2062 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ND |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |