Provider Demographics
NPI:1336163492
Name:KELLER, JENNIFER GREENHOW (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:GREENHOW
Last Name:KELLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1051
Mailing Address - Street 2:831 COVERED BRIDGE LANE
Mailing Address - City:GRANTHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03753-1051
Mailing Address - Country:US
Mailing Address - Phone:603-381-5712
Mailing Address - Fax:
Practice Address - Street 1:8 PROSPECT ST
Practice Address - Street 2:NASHUA ANESTHESIA PARTNERS, SNHMC
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-1000
Practice Address - Country:US
Practice Address - Phone:603-577-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420011431207L00000X
NH13106207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology