Jared Keller, P.A

NPI 1861822439 · on the registry since 2013 · sole proprietor

Practice

Address: 402 6th St
Rupert, ID 83350
Phone: (208) 650-7941
Fax: (208) 436-0735
Organisation at this address: Family Health Services Corporation
Family Health Services Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho