Individual
KATHARINE HAVANA KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
803 IRMA RD, SALEM, KY 42078-8011
(270) 704-9173
Mailing address
803 IRMA RD, SALEM, KY 42078-8011
(270) 704-9173
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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