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Individual

KENNETH J KELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
5151 E BROADWAY BLVD, # 720, TUCSON, AZ 85711-3705
(520) 790-7583
(520) 790-5175
Mailing address
5151 E BROADWAY BLVD, # 720, TUCSON, AZ 85711-3705
(520) 790-7583
(520) 790-5175

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3461
AZ

Other

Enumeration date
01/08/2007
Last updated
11/08/2007
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