MARY J KELLER, RN, NP, Family LINTHICUM HEIGHTS, MD

Contact Information

MARY J KELLER, RN, NP

MARY KELLER
785 ELKRIDGE LANDING SUITE #300
LINTHICUM HEIGHTS, MD 21090

Phone: 417-379-7253
Fax: 844-464-0583
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for MARY J KELLER · (Female)

NPI Number	`1073678033`
Status	Active
Credentials	RN, NP
Entity	Individual
Enumeration date	12/27/2006
Last updated	06/10/2024 - More than a year ago
Sole proprietor ¹	No
Identifiers	MO License # 091099 AR Medicaid 171101758 MO Medicaid 1073678033 MO Other P00635675 TRAVELERS RR MEDICARE MO Other 431560263 TRICARE WEST
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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MARY J KELLER, RN, NP – NPI #1073678033Family

Contact Information

Specialty

Family

NPI Profile & details for MARY J KELLER · (Female)

Reviews for MARY J KELLER

MARY J KELLER, RN, NP – NPI #1073678033
Family