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Individual

DR. KAITLYN EMILY KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
3851 COMMERCIAL CENTER DR, LADSON, SC 29456-4146
(843) 314-5434
Mailing address
155 HEADWATER DR, SUMMERVILLE, SC 29486-8539
(847) 525-8608

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070023667
IL
225100000X
Physical Therapist
Primary
12641
SC
225100000X
Physical Therapist
2018025444
MO
225100000X
Physical Therapist

Other

Enumeration date
05/28/2018
Last updated
05/23/2025
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