Female

Katelyn E. Keller PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Katelyn Elizabeth Keller PA-C

NPI Number

1023534724

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/15/2017

Specialties

(Taxonomies)

Code

363A00000X
363AS0400X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Pennsylvania

License Number

PA9111238
MA059176

Contact
Information

Purpose

Mailing
Location

Address

4500 SAN PABLO RD S
4500 SAN PABLO RD S

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32224-1865
32224

Country

US
US

Telephone Number

(904) 953-2000
(904) 953-2285

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

klippert391379@ehrdirect.mayoclinicmsg.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

4500 San Pablo Rd SJacksonville, FL32224US

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

Data last updated by provider on 09/01/2020

Provider Address

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