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Contact Information

TIA KELLER, LPN
7039 SAINT MARY AVE
BATON ROUGE , LA70791
 Phone: 225-421-5834
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for TIA KELLER · (Female)

NPI Number 1689262560
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 01/06/2021
Last updated 01/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 20130840
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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