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Dustin Keller Enterprises LLC

Durable Medical Equipment & Medical Supplies in Brookneal, VA. Organization (NPI-2).

NPI number1982166047
StatusActive
Last updated in NPPESApr 5, 2019

Details

NPI
1982166047
Entity type
Organization (NPI-2)
Legal business name
Dustin Keller Enterprises LLC
Organization subpart
No
Enumeration date
Apr 5, 2019
Last updated
Apr 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

1547 Red Bottom Rd
Brookneal, VA 24528

Phone 434-610-8895

Mailing address

1547 Red Bottom Rd.
Brookneal, VA 24528

Phone 434-610-8895

Authorized official

Dustin Tye Keller
Owner/Operator
4346108895

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