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CARY S KELLER MD PC NPI 1982805511


NPI Information

NPI: 1982805511
Provider Name: CARY S KELLER MD PC

Doing Business As: SPORTSMEDICINE FAIRBANKS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
751 OLD RICHARDSON HWY
SUITE 200
FAIRBANKS, AK
ZIP 99701
Phone: (907) 451-6561
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CARY S KELLER MD PC is a durable medical equipment medical supplies in Fairbanks, AK. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CARY S KELLER MD PC NPI is 1982805511. The provider is registered as an organization entity type.
The provider Is Doing Business As Sportsmedicine Fairbanks.

The provider's business location address is:

751 OLD RICHARDSON HWY
SUITE 200
FAIRBANKS, AK
ZIP 99701-813
Phone: (907) 451-6561
Fax: (907) 451-4847

The provider's authorized official is Rebecca S Dean .
The authorized official title is Executive Director and has the following contact phone number (907) 451-6561.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies38793ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MDG202MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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