person
Logan J Keller, NP
Family Nurse Practitioner in Lake Charles, Louisiana
NPI 1962894212

Logan J Keller is a Family Nurse Practitioner based in Dallas, LA and is specialized in Family. Logan J Keller practices in Lake Charles, LA and has the professional credentials of NP. The NPI Number for Logan J Keller is 1962894212 and holds a License No. AP08215 (Louisiana).

The current practice location address for Logan J Keller is 2770 3Rd Ave Ste 110, Lake Charles, LA and can be reached out via phone at 337-494-4747 and via fax at 337-494-4773.

Location: 2770 3Rd Ave Ste 110, Lake Charles, LA, 75312-2425
person
Provider Profile Details
NPI Number
1962894212
Provider Name
Logan J Keller
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2770 3Rd Ave Ste 110, Lake Charles, LA, 75312-2425
Phone Number
337-494-4747
Fax Number
337-494-4773
Provider Enumeration Date
02/24/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP08215 01 LA STATE NP LICENSE
2385810 05 LA
institution
Provider Business Practice Location Address Details
Address
2770 3Rd Ave Ste 110
City
State
Zip
70601-0404
Phone Number
337-494-4747
Fax Number
337-494-4773
person
Provider Business Mailing Address Details
Address
2770 3Rd Ave Ste 110
City
State
Zip
70601-0404
Phone Number
337-494-4747
Fax Number
337-494-4773
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP08215 (Louisiana)
Definition
Definition to come...
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