Dr. Mark R. Keller M.D.
Family Medicine Physician in Asheboro, NC(View on Map)
Full Name
Dr. Mark Robert Keller M.D.
NPI Number
1295789535
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/20/2006
Specialties
(Taxonomies)Code
207Q00000X
207P00000X
Primary Taxonomy
Yes
No
Licenses
State
North Carolina
License Number
30821
Contact
Information
Purpose
Mailing
Location
Address
550 WHITE OAK ST
197 NC HIGHWAY 42 N STE B
City
Asheboro
Asheboro
State
NC
NC
Postal Code
27203-4710
27203
Country
US
US
Telephone Number
(336) 625-1360
(336) 625-2560
Identifiers
Identifier
8948123
48123
Identifier State
NC
NC
Identifier Issuer
Unknown
BLUE CROSS
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
mkeller246247@direct.novanthealth.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
111 Gateway Center DrKernersville, NC272842999US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/25/2020
Provider Address
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