Individual
LUCINDA RUTH KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 573-1037
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 573-1037
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001825A
IN
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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