Kevin R. Keller, MD
Allergy & Immunology in Marshfield, WI. Individual provider (NPI-1).
NPI number1790720795
StatusActive
Last updated in NPPESMay 23, 2023
Details
- NPI
- 1790720795
- Entity type
- Individual (NPI-1)
- Name
- Kevin R. Keller
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2006
- Certification date
- May 23, 2023
- Last updated
- May 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | 66691 | WI | Yes |
| 207K00000X | Allergy & Immunology | C-8356 | AR |
Practice location
1000 N Oak AveMarshfield, WI 54449-5703
Phone 715-387-5186
Mailing address
1000 N Oak AveMarshfield, WI 54449-5703
Phone 715-387-5186
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