Keckler, Scott James

Keckler, Scott James is an individual health care provider with primary practice located at 1600 W 22Nd St , Sioux Falls SD 57105-1521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Keckler, Scott James can be contacted via phone (605) 312-1000.

Contact Information

Primary practice address
1600 W 22Nd St Sioux Falls SD 57105-1521
Phone: (605) 312-1000
Fax: (605) 312-1001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2012024116 Missouri
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 11615 South Dakota

Profile Details

NPI number 1154597011
LBN Legal business name Keckler, Scott James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2008
Last updated Feb 10th, 2020 - about 5 years ago

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 1154597011 NPPES
Missouri Other 431560263 TRICARE
Missouri MEDICAID 193951001 TRICARE
Missouri Other P01089889 TRICARE
Missouri MEDICAID 1154597011 TRICARE

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