| Kristin M Keeler, S.c | |
|
4217 Green Bay Rd Kenosha WI 53144-4518 | |
| (262) 652-2365 | |
| (262) 652-2071 |
| Full Name | Kristin M Keeler, S.c |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4217 Green Bay Rd, Kenosha, Wisconsin |
| Authorized Official Name and Position | Kristin Marie Keeler (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2626522365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin M Keeler, S.c 4217 Green Bay Rd Kenosha WI 53144-4518 Ph: (262) 652-2365 | Kristin M Keeler, S.c 4217 Green Bay Rd Kenosha WI 53144-4518 Ph: (262) 652-2365 |
| NPI Number | 1336412360 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 02/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336412360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2277-057 (Wisconsin) | Primary |
| 103TC0700X | Psychologist - Clinical | 071-006391 (Illinois) | Secondary |
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