| NPI | 1932877941 |
|---|---|
| Other Name | JJ KELLER LIFE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | TERRY LAYMAN President 317-522-0844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |