Provider Demographics
NPI:1922303825
Name:KELLER, BRITTNEY SUZANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:SUZANNE
Last Name:KELLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5960 VANDERVOORT DR STE 120
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-7400
Mailing Address - Country:US
Mailing Address - Phone:402-615-6022
Mailing Address - Fax:402-328-2657
Practice Address - Street 1:5960 VANDERVOORT DR STE 120
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-7400
Practice Address - Country:US
Practice Address - Phone:402-615-6022
Practice Address - Fax:402-261-5912
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-24
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1649111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor