Individual
KARL THOMAS KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
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
1669012
WI
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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