Individual
BRYSON JAMES KELLER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 DUDLEY PIKE, EDGEWOOD, KY 41017-8120
(859) 360-3006
Mailing address
2748 LATONIA AVE, COVINGTON, KY 41015-1036
(859) 907-0379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
KY
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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