Most Relevant Information
Provider Data
| NPI Number: | 1003659327 |
| Provider Name: | LEVI S KELLER PRSS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/14/2024 |
| Last Updated: | 06/14/2024 |
Provider Practice Location
2121 7TH ST
PARKERSBURG
WV
261013803
Practice Location Phone/Fax
| Phone: | 3044851721 |
| Fax: |
Provider Mailing Location
2121 7TH ST
PARKERSBURG
WV
261013803
Provider Mailing Phone/Fax
| Phone: | 3044851721 |
| Fax: |