Keller, Mark Robert

Keller, Mark Robert is an individual health care provider with primary practice located at 197 Nc Highway 42 N Ste B , Asheboro NC 27203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Keller, Mark Robert can be contacted via phone (336) 625-2560.

Contact Information

Primary practice address
197 Nc Highway 42 N Ste B Asheboro NC 27203
Phone: (336) 625-2560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30821 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30821 North Carolina

Profile Details

NPI number 1295789535
LBN Legal business name Keller, Mark Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Oct 25th, 2020 - about 4 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 1295789535 NPPES
North Carolina MEDICAID 8948123
North Carolina Other 48123

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