Organization
K THOMAS KELLER DC SC
Active
Other names
Keller Chiropractic Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL THOMAS KELLER DC (PRESIDENT)
(262) 639-2210
Entity
Organization
Contact information
Practice address
4060 N MAIN ST, RACINE, WI 53402-3121
(262) 639-2210
(262) 639-4495
Mailing address
4060 N MAIN ST, RACINE, WI 53402-3121
(262) 639-2210
(262) 639-4495
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1669 012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962515999
INDVIDIUAL NPI
—
Enumeration date
12/05/2006
Last updated
08/22/2020
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