Keller, Jennifer Anne

Keller, Jennifer Anne is an individual health care provider with primary practice located at 60 Summerfield Ct Suite 102, Roanoke VA 24019-4579. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Keller, Jennifer Anne can be contacted via phone (540) 904-1458.

Contact Information

Primary practice address
60 Summerfield Ct Suite 102 Roanoke VA 24019-4579
Phone: (540) 904-1458
Fax: (855) 495-0994
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103300725 Virginia

Profile Details

NPI number 1144290784
LBN Legal business name Keller, Jennifer Anne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Aug 6th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144290784 NPPES
Virginia MEDICAID 009304291
Virginia Other 480032174

Popular Providers