Keller, Clay Alan
Keller, Clay Alan is an individual health care provider with primary practice located at 315 W Mclain Dr , Sherman TX 75092-2605. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Keller, Clay Alan can be contacted via phone (903) 957-4701.Contact Information
Primary practice address
315 W Mclain Dr
Sherman TX 75092-2605
Phone: (903) 957-4701
Fax: (903) 957-3416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 673045 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP112671 | Texas |
Profile Details
| NPI number | 1033133988 |
|---|---|
| LBN Legal business name | Keller, Clay Alan |
| Credentials | PMHNP-BC, ANP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Aug 29th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033133988 | NPPES |
| Texas | Other | 2C3174 | MEDICARE PTAN |
| Texas | MEDICAID | 163001402 | MEDICARE PTAN |
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