Keller, Kevin R.

Keller, Kevin R. is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Keller, Kevin R. can be contacted via phone (715) 387-5186.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449-5703
Phone: (715) 387-5186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X C-8356 Arkansas
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 66691 Wisconsin

Profile Details

NPI number 1790720795
LBN Legal business name Keller, Kevin R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated May 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790720795 NPPES
Oklahoma MEDICAID 100039260B
Oklahoma Other P00331539
Oklahoma Other 5J075
Oklahoma MEDICAID 123411001

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