Ashley Keller
Technician, Other in Evans, GA. Individual provider (NPI-1).
NPI number1629543772
StatusActive
Last updated in NPPESOct 4, 2018
Details
- NPI
- 1629543772
- Entity type
- Individual (NPI-1)
- Name
- Ashley Keller
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2018
- Last updated
- Oct 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
723b Industrial Park RdEvans, GA 30809-3680
Phone 706-432-2391
Mailing address
723b Industrial Park RdEvans, GA 30809-3680
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