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Organization
KELLERMAN CHIROPRACTIC CENTER LLC
Active
Organization
KELLERMAN CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS KELLERMAN (OWNER)
(512) 258-9355
Entity
Organization
Contact information
Practice address
4010 SANDY BROOK DR, SUITE 103, ROUND ROCK, TX 78665-1516
(512) 258-9355
Mailing address
4010 SANDY BROOK DR, SUITE 103, ROUND ROCK, TX 78665-1516
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
318547
MEDICARE PTAN
TX
Enumeration date
05/16/2016
Last updated
05/16/2016
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