Kelly Keller

NPI #1235720178 in Tuscola, Illinois

Provider Information

NPI Number
1235720178
Entity Type
Individual
Name
Kelly Keller
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Feb 2, 2021
Last Updated
Feb 2, 2021

Practice Location

Address
915 E BARKER ST
ZIP Code
61953-1121
Phone
(217) 778-5276

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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