Individual
BREANNA LYNN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
850 COUNTRY MANOR LN, CREVE COEUR, MO 63141-6651
(314) 434-5900
(314) 434-3927
Mailing address
1219 RAINTREE PASS, O FALLON, MO 63366-4421
(314) 494-2438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004021468
MO
Other
Enumeration date
01/19/2013
Last updated
01/19/2013
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