Keller, Kenneth J

Keller, Kenneth J is an individual health care provider with primary practice located at 3501 N Scottsdale Rd Ste 130 , Scottsdale AZ 85251-5649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Keller, Kenneth J can be contacted via phone (480) 425-5000.

Contact Information

Primary practice address
3501 N Scottsdale Rd Ste 130 Scottsdale AZ 85251-5649
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4828 North Dakota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25985 Arizona

Profile Details

NPI number 1891781886
LBN Legal business name Keller, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Feb 18th, 2019 - 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 1891781886 NPPES
Arizona MEDICAID 889470

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