MEDICARE: KEITH M KELLER

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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1457747529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEITH M KELLER

Provider Business Mailing Address
First Line	:	233 ANISA DR
Second Line	:
City	:	NORTH
State	:	SC
Zip	:	29112-8002
Country	:	US
Telephone Number	:	803-662-9952
Fax Number	:

Provider Business Practice Location Address
First Line	:	233 ANISA DR
Second Line	:
City	:	NORTH
State	:	SC
Zip	:	29112-8002
Country	:	US
Telephone Number	:	803-662-9952
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. KEITH M KELLER
Credential	:
Telephone Number	:	803-662-9952

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	04/15/2015

Similar Medicare Providers

1629068838 — KIDRON BETHEL RETIREMENT SERVICES, INC.
Practice Location Address:

3001 IVY DRIVE
NORTH NEWTON, KS
67117-8002

Practice Phone: 316-284-2900
Practice Fax: 316-284-0173

1477622710 — DR. MICHAEL JAMES BARBER M.D.
Practice Location Address:

2180 NORTH LOOP WEST , SUITE 450
HOUSTON, TX
77018-8002

Practice Phone: 832-384-1560
Practice Fax: 832-384-1585

1407164221 — LAUREL CANYON MEDICAL CENTER INC
Practice Location Address:

8002 LAUREL CANYON BLVD
NORTH HOLLYWOOD, CA
91605-1427

Practice Phone: 818-768-5700
Practice Fax: 818-768-5710

1548875727 — DEQWANDRA HASKINS
Practice Location Address:

4900 BRYANBELL LN
NORTH CHESTERFIELD, VA
23234-8002

Practice Phone: 804-593-9001
Practice Fax: 804-482-2740

1457303851 — SINGLETON HEALTH CENTER, LLC
Practice Location Address:

119 BOLTIN AVE
NORTH, SC
29112-8131

Practice Phone: 803-247-3900
Practice Fax: 803-247-3930

1811919350 — MICHAEL D SANDERS MD
Practice Location Address:

4631 SAVANNAH HWY
NORTH, SC
29112

Practice Phone: 803-247-2428
Practice Fax:

Directions to “KEITH M KELLER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.