Individual
MS. TONYA KAYE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 HAMILTON RD, PARK HILLS, KY 41011-2036
(859) 801-6317
(859) 431-0248
Mailing address
1045 HAMILTON RD, PARK HILLS, KY 41011-2036
(859) 801-6317
(859) 431-0248
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1954
KY
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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