Organization
KELLER FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAORLYN LEONARD (CONTROLLER)
(256) 386-4673
Entity
Organization
Contact information
Practice address
221 HOSPITAL RD, RED BAY, AL 35582-3858
(256) 356-8907
(256) 356-8903
Mailing address
PO BOX 895, SHEFFIELD, AL 35660-0895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8422
AL
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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