Individual
KURTIS KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 E MANHATTAN BLVD, TOLEDO, OH 43608-1267
(419) 671-8200
Mailing address
420 E MANHATTAN BLVD, TOLEDO, OH 43608-1267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14086729
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14086729
—
OH
Enumeration date
02/13/2014
Last updated
02/13/2014
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