Female

Stacy A. Keller NP

Pediatric Nurse Practitioner in Indianapolis, IN(View on Map)

Full Name

Stacy A Keller NP

NPI Number

1053493320

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/19/2006

Specialties

(Taxonomies)

Code

363LP0200X

Primary Taxonomy

Yes

Licenses

State

Indiana
Indiana

License Number

71001660
28121823

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1026
705 RILEY HOSPITAL DR

City

Indianapolis
Indianapolis

State

IN
IN

Postal Code

46206-1026
46202-5109

Country

US
US

Telephone Number

(317) 274-1201
(317) 944-3774

Identifiers

Identifier

200467770

Identifier State

IN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/14/2011

Provider Address

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