KEVIN KELLER

REXBURG, ID
NPI1811725377
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: ID  8961468)
Enumeration Date2024-07-24
Last Update Date2024-07-24
Business Address
KEVIN KELLER
859 S YELLOWSTONE HWY
REXBURG, ID 83440-5293
Phone number: 208-313-0091
Mailing Address
KEVIN KELLER
335 GUSTAFSON DR
IDAHO FALLS, ID 83402-4637
Phone number: 208-313-0091
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