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Mr. Phelo Joseph Keller, OTSC
Other Specialist/Technologist in Morgan City, Louisiana
NPI 1366505612

Phelo Joseph Keller is a Other Specialist/Technologist based in Morgan City, LA. Phelo Joseph Keller practices in Morgan City, LA and has the professional credentials of OTSC. The NPI Number for Phelo Joseph Keller is 1366505612 and holds a License No. NBCOT981110 (Louisiana).

The current practice location address for Phelo Joseph Keller is 1300 Lakewood Dr Suite D, Morgan City, LA and can be reached out via phone at 985-384-7900 and via fax at 985-384-8049.

Location: 1300 Lakewood Dr Suite D, Morgan City, LA, 70381
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366505612
Provider Name
Phelo Joseph Keller
Credential
OTSC
Provider Entity Type
Individual
Gender
Male
Address
1300 Lakewood Dr Suite D, Morgan City, LA, 70381
Phone Number
985-384-7900
Fax Number
985-384-8049
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
950290 01 OTC NATIONAL
981110 01 LA NBCOT
institution
Provider Business Practice Location Address Details
Address
1300 Lakewood Dr Suite D
City
Morgan City
State
Louisiana
Zip
70380
Phone Number
985-384-7900
Fax Number
985-384-8049
person
Provider Business Mailing Address Details
Address
1300 Lakewood Dr Suite D
City
Morgan City
State
Louisiana
Zip
70380
Phone Number
985-384-7900
Fax Number
985-384-8049
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
NBCOT981110 (Louisiana)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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