Keller Skin Care

LBN: Keller Skin & Cancer Care Pc
Keller Skin Care is an health care organization with primary practice located at 1605 E Riverside Drive , Eagle ID 83616. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Keller Skin & Cancer Care Pc can be contacted via phone (208) 939-6227, or through Keller, Wade Robert via phone (208) 939-6227.

Contact Information

Primary practice address
1605 E Riverside Drive Eagle ID 83616
Phone: (208) 939-6227
Fax: (208) 939-6442
Website:
Map and Directions
Authorized official contact:
Name: Keller, Wade Robert Doctor of Osteopathy (DO)
Phone: (208) 939-6227

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X O-0559 Idaho
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1649543323
LBN Legal business name Keller Skin & Cancer Care Pc
DBA Doing business as Keller Skin Care
Authorized official Keller, Wade Robert Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2012
Last updated Nov 3rd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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