# KELLER CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlas Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548481559
- **Authorized official:** DR. AUTUMN RENEE KELLER D. C. (DOCTOR)
- **Authorized official phone:** (419) 698-2008

## Contact information

- **Practice address:** 3555 NAVARRE AVE, \#4, OREGON, OH 43616-3459
- **Practice address phone:** (419) 698-2008
- **Practice address fax:** (419) 698-2640
- **Mailing address:** 3555 NAVARRE AVE, \#4, OREGON, OH 43616-3459
- **Mailing address phone:** (419) 698-2008
- **Mailing address fax:** (419) 698-2640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3204 | OH | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 03/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4066521 | — | OH |