Duelfer, Keegan

Duelfer, Keegan is an individual health care provider with primary practice located at 2300 S 1St St , Champaign IL 61820-7661. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Duelfer, Keegan can be contacted via phone (217) 383-9564.

Contact Information

Primary practice address
2300 S 1St St Champaign IL 61820-7661
Phone: (217) 383-9564
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016006010 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD-001042 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1245712678
LBN Legal business name Duelfer, Keegan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2018
Last updated Feb 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245712678 NPPES
Arizona MEDICAID Z276117

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