Individual
MS. BROOKE E KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1000 S COLUMBIA RD, GRAND FORKS, ND 58201-4032
(701) 780-5000
Mailing address
1000 S COLUMBIA RD, GRAND FORKS, ND 58201-4032
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1142
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55730
—
ND
Enumeration date
01/11/2011
Last updated
07/02/2015
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