Keller, Kyle

Keller, Kyle is an individual health care provider with primary practice located at 1150 Montreal Ave # 107 , Saint Paul MN 55116-2390. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Keller, Kyle can be contacted via phone (651) 307-5148.

Contact Information

Primary practice address
1150 Montreal Ave # 107 Saint Paul MN 55116-2390
Phone: (651) 307-5148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 22507 Minnesota
Behavioral Health & Social Service Providers / Social Worker 104100000X Minnesota

Profile Details

NPI number 1710356134
LBN Legal business name Keller, Kyle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2015
Last updated Mar 9th, 2017 - 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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