Individual
MR. WILLIAM JOSEPH KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
202 MCALISTER EXT, NEW ORLEANS, LA 70118-5671
(504) 864-2125
Mailing address
364 DAVIS DR, LULING, LA 70070-6002
(504) 913-0487
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200059
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ATH.200059
LOUISIANA
LA
Enumeration date
07/13/2007
Last updated
03/23/2020
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