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Individual
GREGORY KELLER
Active
Individual
GREGORY KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
153916
LA
163WC1500X
Community Health Registered Nurse
153916
LA
163WD1100X
Peritoneal Dialysis Registered Nurse
153916
LA
163WH0200X
Home Health Registered Nurse
Primary
153916
LA
163WH1000X
Hospice Registered Nurse
153916
LA
246RP1900X
Phlebotomy Technician
—
NULL
Other
Enumeration date
11/23/2017
Last updated
12/09/2020
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