Individual
DEREK KEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
721 E COURT ST, PARIS, IL 61944-2460
(217) 465-4141
Mailing address
721 E COURT ST, PARIS, IL 61944-2460
(217) 465-4141
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.454037
IL
363L00000X
Nurse Practitioner
Primary
209022616
IL
Other
Enumeration date
12/28/2020
Last updated
01/07/2021
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