Keller, Dwayne
Keller, Dwayne is an individual health care provider with primary practice located at 510 E Stoner Ave Overton-Brooks Va Medical Center, Shreveport LA 71101-4243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Keller, Dwayne can be contacted via phone (318) 424-6025.Contact Information
Primary practice address
510 E Stoner Ave Overton-Brooks Va Medical Center
Shreveport LA 71101-4243
Phone: (318) 424-6025
Fax: (318) 841-4796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.020144 | Louisiana |
Profile Details
| NPI number | 1588675839 |
|---|---|
| LBN Legal business name | Keller, Dwayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Dec 9th, 2015 - about 8 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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