Keller, Shelby R

Keller, Shelby R is an sole proprietor health care provider with primary practice located at 1835 Eastwest Pkwy Suite 16, Fleming Island FL 32003-6336. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Keller, Shelby R can be contacted via phone (904) 215-3958.

Contact Information

Primary practice address
1835 Eastwest Pkwy Suite 16 Fleming Island FL 32003-6336
Phone: (904) 215-3958
Fax: (904) 215-3970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X PTA21475 Florida

Profile Details

NPI number 1316307093
LBN Legal business name Keller, Shelby R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2016
Last updated Feb 24th, 2016 - about 9 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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