LOGAN J KELLER

LAKE CHARLES, LA
NPI1962894212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP08215)
Enumeration Date2015-02-24
Last Update Date2022-04-27
Business Address
LOGAN J KELLER NP
2770 3RD AVE STE 110
LAKE CHARLES, LA 70601-0404
Phone number: 337-494-4747
Mailing Address
LOGAN J KELLER NP
P O BOX 122425 DEPT 2425
DALLAS, TX 75312-2425
Phone number: 337-494-2921
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