Dr. Scott Robert Keller
Pediatrician
3 Park Pl
Swansea
, Illinois 62226-2965
Dr. Scott Robert Keller
Pediatrician
3 Park Pl
Swansea
, Illinois 62226-2965
(618) 222-9248
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Scott Robert Keller
- 3 Park Pl
- Swansea, IL
- Zip : 62226-2965
- Fax : (618) 222-9248
- Phone : (618) 222-9244
Second Address
- Dr. Scott Robert Keller
- 3 Park Pl
- Swansea, IL
- Zip : 62226-2965
- Fax : (618) 222-9248
- Phone : (618) 222-9244
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 036.132786 | IL |
| N | 208000000X | Pediatrician | 2004014306 | MO |
| N | 208000000X | Pediatrician | 2007011139 | MO |
National Provider Identifier
| NPI | 1003942145 |
|---|---|
| Provider Name | Dr. Scott Robert Keller |
| First Address | Swansea, IL 62226-2965 |
| Second Address | Swansea, IL 62226-2965 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/02/2007 |
| Last Update Date | 02/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 209903004 | (05) | MO |
| I72589 | (02) | 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.