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Individual

DR. JAMES (JIM) L KELLER

Active
Find providers by NPI
Individual

DR. JAMES (JIM) L KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
104
TN
225100000X
Physical Therapist
5614
SC
225100000X
Physical Therapist
Primary
PT176
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11424712
CAQH
AR
05
121901721
AR
05
149795742
AR
01
71076580230
QUALCHOICE
AR
Enumeration date
06/29/2006
Last updated
04/05/2019
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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