Cary S Keller MD PC
Durable Medical Equipment & Medical Supplies in Fairbanks, AK. Organization (NPI-2).
NPI number1982805511
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982805511
- Entity type
- Organization (NPI-2)
- Legal business name
- Cary S Keller MD PC
- Organization subpart
- No
- Enumeration date
- May 30, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 38793 | AK | Yes |
Other names
- Sportsmedicine Fairbanks (Doing Business As)
Practice location
751 Old Richardson HwySuite 200
Fairbanks, AK 99701-7813
Phone 907-451-6561 · Fax 907-451-4847
Mailing address
751 Old Richardson HwySuite 200
Fairbanks, AK 99701-7813
Phone 907-451-6561 · Fax 907-451-4847
Authorized official
Rebecca S Dean
Executive Director
9074516561
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