| Doctor Name: | LATANYA R KELLER |
| NPI Number: | 1962706838 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PN262219 |
| Business Practice Address: | 6521 Elmwood Ave Philadelphia, PA - 191422816 |
| Business Phone Number: | 2672922647 |
| Business Fax Number: | 2672922657 |
| Mailing Address: | 6634 Lebanon Ave, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191513014 |
| Phone Number: | 2674081567 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2011 |
| NPI Last Update Date: | 01/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 164W00000X |
| License Number: | PN262219 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Licensed Practical Nurse |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |