Individual
ISAIAH KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15544 OLD HICKORY BLVD, NASHVILLE, TN 37211-7329
(615) 331-4961
Mailing address
15544 OLD HICKORY BLVD, NASHVILLE, TN 37211-7329
(615) 331-4961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39182
TN
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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