Individual
THERESA M KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
810 EASTERN PKWY, LOUISVILLE, KY 40217-2262
(502) 637-7612
(502) 637-1183
Mailing address
810 EASTERN PKWY, LOUISVILLE, KY 40217-2262
(502) 637-7612
(502) 637-1183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10309
KY
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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