Keller, Jason

Keller, Jason is an individual health care provider with primary practice located at 800 Stone Creek Pkwy Ste 7 , Louisville KY 40223-5366. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Keller, Jason can be contacted via phone (502) 423-0332.

Contact Information

Primary practice address
800 Stone Creek Pkwy Ste 7 Louisville KY 40223-5366
Phone: (502) 423-0332
Fax: (502) 423-0337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1548 Kentucky

Profile Details

NPI number 1407939473
LBN Legal business name Keller, Jason
Credentials PSY D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated May 26th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407939473 NPPES
Kentucky Other 000000540906 ANTHEM
Kentucky MEDICAID 30605018 ANTHEM

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