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Individual

KAYLA KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8227 NORTHWEST BLVD, #160, INDIANAPOLIS, IN 46278-1387
(317) 415-5795
(317) 415-5748
Mailing address
8227 NORTHWEST BLVD, #160, INDIANAPOLIS, IN 46278-1387
(317) 415-5795
(317) 415-5748

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002347A
IN

Other

Enumeration date
10/13/2014
Last updated
10/13/2014
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