Individual
CONNIE V KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
201 N FOREST AVE, INDEPENDENCE, MO 64050-2696
(816) 521-5485
Mailing address
5113 N TROOST AVE, KANSAS CITY, MO 64118-5312
(816) 844-1017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
304838
MO
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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