Individual
JASON TODD KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1003 E REELFOOT AVE, STE 1, UNION CITY, TN 38261
(731) 885-7700
(731) 885-7704
Mailing address
1003 E REELFOOT AVE, STE 1, UNION CITY, TN 38261-5871
(731) 885-7700
(731) 885-7704
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001516
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3067070
CIGNA HEALTHCARE
TN
01
—
3120562
BCBS OF TN
TN
Enumeration date
06/02/2005
Last updated
04/27/2010
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