| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALEXANDER P. KELLER | 1700845195 | 2024-07-05 |
Alexander P. Keller is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700845195. Registration indicates Alexander P. Keller is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Emergency Medicine (Emergency Medicine: Emergency Medical Services, ) (All Other Specialties & Provider Types, ) (Emergency Medicine Emergency Medical Services, Allopathic & Osteopathic Physicians) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Preventive Medicine) (Preventive Medicine: Aerospace Medicine, ) (Preventive Medicine Aerospace Medicine, Allopathic & Osteopathic Physicians) (Preventive Medicine, ) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians) (Other Service Providers, Military Health Care Provider) (Military Health Care Provider, ) (Military Health Care Provider, Other Service Providers)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Alexander P. Keller Iv M.D. |
| Practice Office Address | 105 TRINITY PL ATHENS, GA US |
| Practice Office Telephone | 7065499993 |
| Mailing Address | 105 TRINITY PL ATHENS, GA 306072112 US |
| Business Telephone | 7065499993 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3551 Roger Brooke Dr | Fort Sam Houston, TX 782344504 | 2105399582 |
| 1100 Wilford Hall Loop Bldg 4554 | Jbsa Lackland, TX 782365638 | 7067146878 |
| Code | Practice | License No State |
|---|---|---|
| 207PE0004X | Allopathic & Osteopathic Physicians Emergency Medicine Emergency Medicine: Emergency Medical Services All Other Specialties & Provider Types Emergency Medicine Emergency Medical Services Allopathic & Osteopathic Physicians Emergency Medicine | S7471
TX |
| 2083A0100X | Allopathic & Osteopathic Physicians Preventive Medicine Preventive Medicine: Aerospace Medicine Preventive Medicine Aerospace Medicine Allopathic & Osteopathic Physicians Preventive Medicine | 058258
GA |
| 207P00000X | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 058258
GA |
| 207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 35.150633
OH |
| 171000000X | Other Service Providers Military Health Care Provider Military Health Care Provider Military Health Care Provider Other Service Providers | S7471
TX |