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Jaclyn Keller, O.D
NPI 1154617652 · on the registry since 2011
Practice
- Address
- 126 Charles St
Oconto, WI 54153 - Phone
- (920) 834-5251
- Organisation at this address
- Shopko #602
Shopko Stores Operating Co Llc
Shopko Stores Operating Co LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin