John W Keller in Destin - Addiction (substance Use Disorder)

John W Keller - NPI 1043248800

John W Keller is a Addiction (substance Use Disorder) in Destin, Florida. John W Keller practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John W Keller is 1043248800. The last update date is 2011-06-22.

John W Keller's current location address is 215 Mountain Dr, Destin, Florida. You can contact this provider via phone number 8508379100 and fax number 8508373774. The mailing address for John W Keller is 215 Mountain Dr, Destin, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name John W Keller
Address 215 Mountain Dr, Destin, Florida
Phone Number 8508379100
Fax Number 8508373774
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1043248800
Provider Enumeration Date 2006-06-29
Last Updated Date 2011-06-22

Provider Mailing Address Detail

Address 215 Mountain Dr
City Destin
State Florida (FL)
Post Code 325412346
Phone Number 8508379100
Fax Number 8508373774

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No PY2338
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about John W Keller

What is the unique 10-digit identifier code assigned to John W Keller by the Centers for Medicare & Medicaid Services?

The John W Keller has been issued the NPI (National Provider Identifier) 1043248800 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of John W Keller?

The John W Keller is physically situated at 215 Mountain Dr, in the city of Destin, state of FL, with the postal code 325412346.

What is John W Keller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John W Keller's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1043248800 to John W Keller?

The Centers for Medicare & Medicaid Services assigned the 1043248800 to John W Keller on 2006-06-29.

When was the information pertaining to John W Keller most recently updated or revised?

The details related to John W Keller, including its address, specialty, and other relevant information, were last updated or revised on 2011-06-22.

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