Keller, Brian Keith

Keller, Brian Keith is an individual health care provider with primary practice located at 435 N Cedar St , Summerville SC 29483-6407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Keller, Brian Keith can be contacted via phone (843) 873-1592.

Contact Information

Primary practice address
435 N Cedar St Summerville SC 29483-6407
Phone: (843) 873-1592
Fax: (843) 507-8284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18014 South Carolina

Profile Details

NPI number 1215994959
LBN Legal business name Keller, Brian Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jun 29th, 2021 - about 3 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 1215994959 NPPES
South Carolina Other 080163302 MEDICARE RAIL ROAD
South Carolina MEDICAID 180146 MEDICARE RAIL ROAD

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