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Keegan Duelfer, DPM
Student in an Organized Health Care Education/Training Program in Champaign, Illinois
NPI 1245712678

Keegan Duelfer is a Student in an Organized Health Care Education/Training Program based in Urbana, IL. Keegan Duelfer practices in Champaign, IL and has the professional credentials of DPM. The NPI Number for Keegan Duelfer is 1245712678 and holds a License No. 016006010 (Illinois).

The current practice location address for Keegan Duelfer is 2300 S 1St St, Champaign, IL and can be reached out via phone at 217-383-9564. You can also correspond with Keegan Duelfer through the mailing address at 611 W PARK ST, URBANA, IL - 61801-2500 (mailing address contact number: ).

Location: 2300 S 1St St, Champaign, IL, 61801-2500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245712678
Provider Name
Keegan Duelfer
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2300 S 1St St, Champaign, IL, 61801-2500
Phone Number
217-383-9564
Fax Number
Provider Enumeration Date
09/01/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z276117 05 AZ
institution
Provider Business Practice Location Address Details
Address
2300 S 1St St
City
Champaign
State
Illinois
Zip
61820-7661
Phone Number
217-383-9564
Fax Number
person
Provider Business Mailing Address Details
Address
611 W Park St
City
Urbana
State
Illinois
Zip
61801-2500
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
POD-001042 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
016006010 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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