Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK D KELLER, M.D.
Active Sole ProprietorJACK D KELLER, M.D. is a Family Medicine healthcare provider located in MARION, Illinois. NPI 1467636605 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MARION, IL
Registration Details
- NPI Number
- 1467636605
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 24, 2007 (18.641644660366 yrs)
- Last Updated
- Feb 20, 2013
- License
-
036056531 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1008 W. CHERRY ST.SUITE FMARION, IL, 62959Browse IL providers · Browse ZIP 62959
- Phone
- 6189972919
- Fax
- 6189976851
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MARION, IL
| Name | Credential | NPI |
|---|---|---|
| DR. SEAN E MCCAIN | MD | 1629050307 |
| DR. JODI L FOX | M.D. | 1508848284 |
| DR. MESHACH VEDANAYAGAM SAMUEL | — | 1124092341 |
| ROBERT JOSEPH TIFFIN JR. | MD | 1023084308 |
| JAN BOWMAN-MARSH | MD | 1992766190 |
| SHOBHA DAYAL | MD | 1396702817 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.