Individual
MRS. VICKI LYNN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
310 E MAIN ST, JACKSON, MO 63755-1456
(573) 243-1001
(573) 243-1401
Mailing address
310 E MAIN ST, JACKSON, MO 63755-1456
(573) 243-1001
(573) 243-1401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00932
MO
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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