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NPI Code Detail

MEDICARE: DR. ZANE DALTON KELLER DDS

MEDICARE: DR. ZANE DALTON KELLER DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry2023020671MO

General Provider Information

NPI Number : 1316631385
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZANE DALTON KELLER DDS
Provider Business Mailing Address
First Line : 50 E 13TH ST UNIT 711
Second Line :
City : KANSAS CITY
State : MO
Zip : 64106-2934
Country : US
Telephone Number : 316-303-7429
Fax Number :
Provider Business Practice Location Address
First Line : 4546 MAIN ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-1816
Country : US
Telephone Number : 816-239-3214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2023
Last Update Date : 06/05/2023

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