Keller, Vern Antoine
Keller, Vern Antoine is an individual health care provider with primary practice located at 155 Hospital Dr Ste 201 , Lafayette LA 70503-2852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Keller, Vern Antoine can be contacted via phone (337) 289-7999.Contact Information
Primary practice address
155 Hospital Dr Ste 201
Lafayette LA 70503-2852
Phone: (337) 289-7999
Fax: (337) 289-7998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME114423 | Florida |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 22054 | Mississippi |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 021788 | Louisiana |
Profile Details
| NPI number | 1639176472 |
|---|---|
| LBN Legal business name | Keller, Vern Antoine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Dec 28th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639176472 | NPPES |
| Mississippi | MEDICAID | 00084714 | |
| Mississippi | MEDICAID | 1977292 | |
| Mississippi | Other | P01303537 | |
| Mississippi | Other | 330005703 |
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