Individual
WILLIAM KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
310 BUTTERCUP DR STE A, MOUNTAIN HOME, AR 72653-2932
(870) 508-7080
Mailing address
294 COUNTY ROAD 289, MOUNTAIN HOME, AR 72653-9172
(540) 461-2625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004545
AR
Other
Enumeration date
10/06/2015
Last updated
05/21/2021
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