Keckler, Bailey Jo

Keckler, Bailey Jo is an individual health care provider with primary practice located at 24337 Us Highway 212 , Eagle Butte SD 57625-7770. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Keckler, Bailey Jo can be contacted via phone (605) 964-8000.

Contact Information

Primary practice address
24337 Us Highway 212 Eagle Butte SD 57625-7770
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R047564 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP002540 South Dakota

Profile Details

NPI number 1235600404
LBN Legal business name Keckler, Bailey Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2018
Last updated Dec 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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