Individual
ERIK LEROY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9300 E 29TH ST N, SUITE 205, WICHITA, KS 67226-2182
(316) 219-8299
(316) 219-5899
Mailing address
9300 E 29TH ST N, SUITE 205, WICHITA, KS 67226-2182
(316) 219-8299
(316) 219-5899
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00525
KS
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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