Mrs. Shelby R Keller
Sports Medicine
1835 Eastwest Pkwy Suite 16
Fleming Island
, Florida 32003-6336
Mrs. Shelby R Keller
Sports Medicine
1835 Eastwest Pkwy Suite 16
Fleming Island
, Florida 32003-6336
(904) 215-3970
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Mrs. Shelby R Keller
- 1835 Eastwest Pkwy Suite 16
- Fleming Island, FL
- Zip : 32003-6336
- Fax : (904) 215-3970
- Phone : (904) 215-3958
Second Address
- Mrs. Shelby R Keller
- 1835 Eastwest Pkwy Suite 16
- Fleming Island, FL
- Zip : 32003-6336
- Fax : (904) 215-3970
- Phone : (904) 215-3958
Reviews
FAQs
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Is Mrs. Shelby R Keller a sole practitioner?
Is Mrs. Shelby R Keller accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | PTA21475 | FL |
| Y | 213ES0000X | Sports Medicine | PTA21475 | FL |
National Provider Identifier
| NPI | 1316307093 |
|---|---|
| Provider Name | Mrs. Shelby R Keller |
| First Address | Fleming Island, FL 32003-6336 |
| Second Address | Fleming Island, FL 32003-6336 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/02/2016 |
| Last Update Date | 24/02/2016 |
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.