James Edward Keeler PA-C

NPI 1346376274 - Physician Assistant - 363AM0700X

NPI Details
NPI 1346376274
Gender Male
Enumeration Date 02/26/2007
Last Updated 02/23/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3307 BROADWAY ST
SUITE 140
MOUNT VERNON IL, 62864-2347, US
Phone (618) 244-7200
Fax
Business Location
2812 CHERRY ST
MOUNT VERNON IL, 62864-2443, US
Phone (618) 214-1766
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Illinois
License Number 085-000326
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According to our database, Mr. James Edward Keeler PA-C NPI is 1346376274, taxonomy code is 363AM0700X and license number is 085-000326, license state is located at Illinois. James Edward Keeler PA-C physically located at 3307 Broadway St, Mount Vernon IL, 62864-2347. NPI Number James Edward Keeler PA-C has the Individual type.

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1346376274 NPI number is provided on an as is basis without warranty of any kind. 1346376274 is maintained by the National Plan & Provider Enumeration System. The contents of James Edward Keeler PA-C are for informational purposes only.