NPI 1407664212

Carl F Keller

Practitioner Intermediate Emergency Medical Technician Fayetteville, AR

Practice location

Address: 303 W Center St, Fayetteville, AR 72701-5102
Phone: (479) 973-4801
Mailing address: 15775 Oak Chase Dr, Fayetteville, AR 72704-9721

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 26249 (AR)

Other Emergency Medical Technician, Intermediate providers in Arkansas →

Registry record

NPI: 1407664212
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Dec 2024
Record last updated: 26 Dec 2024

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.