Individual
SAMUEL KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5332 CEDAR ST, ROELAND PARK, KS 66205-2217
(913) 543-1970
Mailing address
5332 CEDAR ST, ROELAND PARK, KS 66205-2217
(913) 543-1970
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
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