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Individual

DR. JARROD RALPH KELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1066 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2247
(864) 582-0286
(864) 582-0279
Mailing address
1066 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2247
(864) 582-0286
(864) 582-0279

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC1359
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D13590
SC
Enumeration date
06/14/2006
Last updated
09/25/2012
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