Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY LYNN KELLER, PA-C
ActiveSTACEY LYNN KELLER, PA-C is a Medical Physician Assistant healthcare provider located in NORTH CANTON, Ohio. NPI 1831441831 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · NORTH CANTON, OH
Registration Details
- NPI Number
- 1831441831
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2012 (13.85212259034 yrs)
- Last Updated
- Mar 14, 2022
- Licenses
-
50-003643 (OH)50003643 (OH)
Practice Information
- Address
-
7072 MEARS GATE DR NWNORTH CANTON, OH, 447208850Browse OH providers · Browse ZIP 44720
- Phone
- 3309661319
- Fax
- 3309661321
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in NORTH CANTON, OH
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER S GONZALEZ | PA-C | 1568649523 |
| MS. TIFFNY J TRENKA | PA-C | 1952560955 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.