Individual
CLAY ALAN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, ANP-BC
Contact information
Practice address
914 COUNTRY CLUB RD, ARGYLE, TX 76226-2503
(940) 464-7222
(940) 464-0323
Mailing address
914 COUNTRY CLUB RD, ARGYLE, TX 76226-2503
(940) 464-7222
(940) 464-0323
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
673045
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP112671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163001402
—
TX
01
—
2C3174
MEDICARE PTAN
TX
Enumeration date
07/26/2006
Last updated
12/11/2024
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