Keller, Gary John

Keller, Gary John is an individual health care provider with primary practice located at 2700 Coral Ridge Ave , Coralville IA 52241-4708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Keller, Gary John can be contacted via phone (319) 626-4279.

Contact Information

Primary practice address
2700 Coral Ridge Ave Coralville IA 52241-4708
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 3844 Iowa

Profile Details

NPI number 1821170473
LBN Legal business name Keller, Gary John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jan 5th, 2012 - 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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