Organization
KEELERS MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES VETSCH JR. (CEO)
(509) 452-6541
Entity
Organization
Contact information
Practice address
2001 W LINCOLN AVE, YAKIMA, WA 98902-2412
(509) 452-6541
(509) 577-7604
Mailing address
2001 W LINCOLN AVE, YAKIMA, WA 98902-2412
(509) 452-6541
(509) 577-7604
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
WA
332BC3200X
Customized Equipment (DME)
—
WA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
WA
332BX2000X
Oxygen Equipment & Supplies (DME)
—
WA
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012282
LABOR & INDUSTRIES
WA
05
—
7009335
—
WA
05
—
9008699
—
WA
05
—
9012394
—
WA
05
—
9270406
—
WA
Enumeration date
03/28/2006
Last updated
09/11/2025
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