Most Relevant Information
Provider Data
| NPI Number: | 1003450255 |
| Provider Name: | AMY LYNN KELLER |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SP.06453 |
Most Important Dates
| Enumeration Date: | 10/31/2019 |
| Last Updated: | 10/31/2019 |
Provider Practice Location
476 PORTLAND WAY N
GALION
OH
448331115
Practice Location Phone/Fax
| Phone: | 4194683676 |
| Fax: |
Provider Mailing Location
476 PORTLAND WAY N
GALION
OH
448331115
Provider Mailing Phone/Fax
| Phone: | 4194683676 |
| Fax: |