Keller, Richard Allen

Keller, Richard Allen is an sole proprietor health care provider with primary practice located at 891 Eureka St , Weatherford TX 76086-5807. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Keller, Richard Allen can be contacted via phone (817) 599-1200.

Contact Information

Primary practice address
891 Eureka St Weatherford TX 76086-5807
Phone: (817) 599-1200
Fax: (817) 341-7351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00270 Texas

Profile Details

NPI number 1588665186
LBN Legal business name Keller, Richard Allen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2005
Last updated Aug 26th, 2020 - about 6 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 1588665186 NPPES
Texas Other 7198739 AETNA PROVIDER #

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