Individual
MRS. KIM LOUISE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 LITTLESTOWN PIKE STE A3, WESTMINSTER, MD 21157-3007
(410) 751-6858
(410) 751-8999
Mailing address
1901 BOWERSOX RD, NEW WINDSOR, MD 21776-8613
(410) 875-3364
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3032
MD
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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