Kelli Marie Keller in Plainfield - Psychiatry

Kelli Marie Keller - NPI 1730207820

Kelli Marie Keller is a Psychiatry in Plainfield, Illinois. Kelli Marie Keller practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kelli Marie Keller is 1730207820. The last update date is 2009-03-10.

Kelli Marie Keller's current location address is 24600 W. 127th St, Plainfield, Illinois. You can contact this provider via phone number 8157319100 and fax number 8157319110. The mailing address for Kelli Marie Keller is 24600 W. 127th St, Plainfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelli Marie Keller
Address 24600 W. 127th St, Plainfield, Illinois
Phone Number 8157319100
Fax Number 8157319110
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1730207820
Provider Enumeration Date 2007-03-27
Last Updated Date 2009-03-10

Provider Mailing Address Detail

Address 24600 W. 127th St
City Plainfield
State Illinois (IL)
Post Code 605859502
Phone Number 8157319100
Fax Number 8157319110

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 36117064
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2220936 IL BCBS
036117064 2 IL --

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FAQs about Kelli Marie Keller

What is the unique identification code assigned to Kelli Marie Keller by the Centers for Medicare & Medicaid Services?

The Kelli Marie Keller has been issued the NPI (National Provider Identifier) 1730207820. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kelli Marie Keller?

The Kelli Marie Keller is physically situated at 24600 W. 127Th St, in the city of Plainfield, state of IL, with the postal code 605859502.

What is Kelli Marie Keller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kelli Marie Keller is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.

On what date did the Kelli Marie Keller receive the assignment of its 1730207820 from the Centers for Medicare & Medicaid Services?

The Kelli Marie Keller was issued its 1730207820 by the Centers for Medicare & Medicaid Services on 2007-03-27.

As of what date were the details related to Kelli Marie Keller most recently updated or revised?

The information pertaining to Kelli Marie Keller, including its address, specialty, and other relevant details, was last updated or revised on 2009-03-10.

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