Mary Louise Keller, PAC

NPI #1356663587 in Jonesville, North Carolina

Provider Information

NPI Number: 1356663587
Entity Type: Individual
Name: Mary Louise Keller, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Feb 15, 2010
Last Updated: Nov 22, 2016

Practice Location

Address: 4000 S SWAIM STREET EXT
City: Jonesville
State: North Carolina
ZIP Code: 28642-9418
Phone: (336) 835-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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