TERRENCE J KELLER

LAKE REGION HEALTHCARE CORPORATION

Dr TERRENCE J KELLER is a male medical professional, specializing in Physician Assistant. He graduated in 2014.

Contact

LAKE REGION HEALTHCARE CORPORATION

2311 W LINCOLN AVE
FERGUS FALLS
MN
565371064

Tel: 2187396800

TERRENCE J KELLER Information

Npi 1861714875
Pac Id 2466772207
Professional Enrollment Id I20150519002441
Last Name KELLER
First Name TERRENCE
Middle Name J
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LAKE REGION HEALTHCARE CORPORATION
Group Practice Pac Id 3971565334
Number Of Group Practice Members 84
Line 1 Street Address 2311 W LINCOLN AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FERGUS FALLS
State MN
Zip Code 565371064
Phone Number 2187396800
Hospital Affiliation Ccn 1 240052
Hospital Affiliation Lbn 1 LAKE REGION HEALTHCARE CORPORATION
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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