Dr. Scott James Keckler
Surgeon Pediatric Surgery
1600 W 22nd St
Sioux Falls
, South Dakota 57105-1521
Dr. Scott James Keckler
Surgeon Pediatric Surgery
1600 W 22nd St
Sioux Falls
, South Dakota 57105-1521
(417) 829-4620
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About
Features
Specialties
- Surgeon
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Scott James Keckler
- Po Box 2580
- Springfield, MO
- Zip : 65801-2580
- Phone : (417) 829-4620
Second Address
- Dr. Scott James Keckler
- 1600 W 22nd St
- Sioux Falls, SD
- Zip : 57105-1521
- Fax : (605) 312-1001
- Phone : (605) 312-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 2012024116 | MO |
| N | 208600000X | Surgeon | 2012024116 | MO |
| Y | 2086S0120X | Pediatric Surgery | 11615 | SD |
National Provider Identifier
| NPI | 1154597011 |
|---|---|
| Provider Name | Dr. Scott James Keckler |
| First Address | Springfield, MO 65801-2580 |
| Second Address | Sioux Falls, SD 57105-1521 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2008 |
| Last Update Date | 10/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1154597011 | (05) | MO |
| 193951001 | (05) | AR |
| 431560263 | TRICARE (01) | MO |
| P01089889 | RR MCR (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.