NPI 1164831533
Keith Eller
Practice location
- Address
- 1100 W 6th Ave, Gary, IN 46402-1711
- Phone
- (219) 885-4264
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1164831533
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Aug 2014
- Record last updated
- 10 Aug 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.