Individual
SAMUEL KELLER
Active
Individual
SAMUEL KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
2017032373
MO
237700000X
Hearing Instrument Specialist
Primary
KS1615
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KS1615
HEARING AID DISPENSER LICENSE
KS
Enumeration date
07/27/2015
Last updated
03/11/2025
Update your record
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