Keller, Don Land

Keller, Don Land is an individual health care provider with primary practice located at 648 Park Ave , Montgomery AL 36106-1837. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Keller, Don Land can be contacted via phone (334) 294-9342.

Contact Information

Primary practice address
648 Park Ave Montgomery AL 36106-1837
Phone: (334) 294-9342
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9226143 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-091032 Alabama

Profile Details

NPI number 1487656989
LBN Legal business name Keller, Don Land
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jun 27th, 2013 - about 12 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 1487656989 NPPES
Florida Other G3666 BLUECROSS BLUESHIELD
Florida MEDICAID 306849800 BLUECROSS BLUESHIELD
Florida Other 59177497 BLUECROSS BLUESHIELD
Florida MEDICAID 009988575 BLUECROSS BLUESHIELD
Florida Other P00217034 BLUECROSS BLUESHIELD

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