MEDICARE: STEVEN J KELLER DC

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	111N00000X	Chiropractor	1525	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5W595	OTHER		BCBS

General Provider Information

NPI Number	:	1982753331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN J KELLER DC

Provider Business Mailing Address
First Line	:	1920 WASHINGTON
Second Line	:	STE B
City	:	CAMDEN
State	:	AR
Zip	:	71701
Country	:	US
Telephone Number	:	870-836-9999
Fax Number	:	870-836-9998

Provider Business Practice Location Address
First Line	:	1920 WASHINGTON
Second Line	:	STE B
City	:	CAMDEN
State	:	AR
Zip	:	71701
Country	:	US
Telephone Number	:	870-836-9999
Fax Number	:	870-836-9998

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	04/28/2022

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Directions to “ STEVEN J KELLER DC” Practice Location

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