Cory J Keller in Philadelphia - Sports Medicine
Cory J Keller - NPI 1265649206
Cory J Keller is a Sports Medicine in Philadelphia, Pennsylvania. Cory J Keller practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Cory J Keller is 1265649206. The last update date is 2021-02-04.
Cory J Keller's current location address is 2450 W Hunting Park Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157072111 and fax number 2157072324. The mailing address for Cory J Keller is 2450 W Hunting Park Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cory J Keller |
|---|---|
| Address | 2450 W Hunting Park Ave, Philadelphia, Pennsylvania |
| Phone Number | 2157072111 |
| Fax Number | 2157072324 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1265649206 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2021-02-04 |
Provider Mailing Address Detail
| Address | 2450 W Hunting Park Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191291302 |
| Phone Number | 2157072111 |
| Fax Number | 2157072324 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | OS013775 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102312897 | PA | -- |
Post Comment/ Review Below
What is the Cory J Keller's 1265649206?
The Cory J Keller's NPI (National Provider Identifier) Number is 1265649206. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Cory J Keller?
The Cory J Keller is situated at 2450 W Hunting Park Ave, in the city of Philadelphia, state of PA, with the zip code 191291302.
What is the Cory J Keller's area of specialization and corresponding taxonomy classification?
The Cory J Keller's specialty field is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265649206 to Cory J Keller?
The Centers for Medicare & Medicaid Services originally issued the 1265649206 to Cory J Keller on 2007-05-17.
When was the information pertaining to Cory J Keller most recently updated or revised?
The details related to Cory J Keller, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-04.