Individual
TIMOTHY SCOTT KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC - HIS
Contact information
Practice address
416 E 2ND ST, CENTRALIA, IL 62801-3513
(618) 532-8452
(573) 755-1080
Mailing address
205 HODGENS MILL LN, O FALLON, IL 62269-6671
(618) 792-9906
(573) 755-1080
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3251
IL
Other
Enumeration date
07/31/2014
Last updated
12/05/2023
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