Individual
CARL F KELLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 W CENTER ST, FAYETTEVILLE, AR 72701-5102
(479) 973-4801
Mailing address
15775 OAK CHASE DR, FAYETTEVILLE, AR 72704-9721
(479) 841-8132
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
26249
AR
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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