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General NPI Number Information
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NPI Number | 1902334352
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Entity Type | Individual
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Provider Name | KEITH ARMAND ZOELLER MD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2017
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 200 CARDINAL DR STE 312
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2787
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Country | US
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Telephone | 270-706-5171
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Fax | 270-706-1357
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Provider Business Mailing Address
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Address Line | 1215 HESS LN
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City | LOUISVILLE
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State | KY
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Zip | 40217-1744
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Country | US
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Telephone | 502-852-0864
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 58538
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License Number State | KY
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