Individual
MR. JAMES EDWARD KEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3307 BROADWAY ST, SUITE 140, MOUNT VERNON, IL 62864-2347
(618) 244-7200
Mailing address
2812 CHERRY ST, MOUNT VERNON, IL 62864-2443
(618) 214-1766
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-000326
IL
Other
Enumeration date
02/26/2007
Last updated
02/23/2015
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