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Individual
MR. WILLIAM JOSEPH KELLER
Active
Individual
MR. WILLIAM JOSEPH KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200059
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ATH.200059
LOUISIANA
LA
Enumeration date
07/13/2007
Last updated
03/23/2020
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