Organization
QUALITY CARE MEDICAL CLINIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY H KELLER DC (MEMBER)
(509) 249-1288
Entity
Organization
Contact information
Practice address
611 N 39TH AVE, YAKIMA, WA 98902-6348
(509) 249-1288
(509) 249-6249
Mailing address
611 N 39TH AVE, YAKIMA, WA 98902-6348
(509) 249-1288
(509) 249-6249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7094048
—
WA
Enumeration date
09/13/2006
Last updated
04/13/2015
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