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Contact Information

JENNIFER E KELLER, APRN
1252 N 22ND ST UNIT A
LARAMIE, WY82072
 Phone: 307-745-5364
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

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

NPI # 1639586209
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/16/2014
Last updated 01/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 33665.1808
  • WY License # 336651808
  • WY Other 33665.1808 WYOMING STATE BOARD OF NURSING
Hospital affiliation(s)
  • PLATTE COUNTY MEMORIAL HOSPITAL - (Critical Access)
    201 14TH STREET
    WHEATLAND, WY 82201
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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