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Individual
MR. CHAD J KELLER
Active
Individual
MR. CHAD J KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED, BSN, RN, ATC
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
13-116483-012
KS
2255A2300X
Athletic Trainer
24-00315
KS
Other
Enumeration date
02/15/2006
Last updated
01/03/2015
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