WALT KELLER

BLOOMINGTON, IN
NPI1891052908
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IN  20040042)
Enumeration Date2012-04-13
Last Update Date2012-04-16
Business Address
Dr. WALT KELLER HSPP
645 N WALNUT ST
BLOOMINGTON, IN 47404-3846
Phone number: 812-336-3570
Mailing Address
Dr. WALT KELLER HSPP
PO BOX 11
BLOOMINGTON, IN 47402-0011
Phone number: 812-336-3570
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