Individual
MR. BRAD KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPTA
Contact information
Practice address
1800 PALACE DR, SUITE C, GARDEN CITY, KS 67846-6264
(620) 271-0700
(620) 271-0703
Mailing address
1800 PALACE DR STE C, GARDEN CITY, KS 67846-6265
(620) 271-0700
(620) 271-0703
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01290
KS
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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