Doctor Name: | CHRISTINE ALLISON KELLER |
NPI Number: | 1265667166 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 105169030 |
Business Practice Address: | 638 Pine St Mukwonago, WI - 531491247 |
Business Phone Number: | 2623635608 |
Business Fax Number: | |
Mailing Address: | 638 Pine St, MUKWONAGO |
State: | WI |
Postal Code: | 531491247 |
Phone Number: | 2623635608 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2009 |
NPI Last Update Date: | 05/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0102X |
License Number: | 105169030 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Maternal Newborn |
Taxonomy Definition: |