Healthcare Provider Details

I. General information

NPI: 1720451891
Provider Name (Legal Business Name): DON F KELLER ED.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2015
Last Update Date: 01/11/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 JOHN ST STE 101
EASLEY SC
29640-1405
US

IV. Provider business mailing address

1 INDEPENDENCE PT STE 212
GREENVILLE SC
29615-4536
US

V. Phone/Fax

Practice location:
  • Phone: 864-442-7585
  • Fax: 864-859-9648
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number438
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: