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Contact Information

JENNIFER L KELLER, APRN
170 GRANDVIEW AVE STE 1
WATERBURY, CT06708-2577
 Phone: 203-759-3666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JENNIFER L KELLER · (Female)

NPI Number 1396362125
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 06/27/2020
Last updated 11/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 12.009086
  • CT License # 134738
Hospital affiliation(s)
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
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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