DR JACK KELLER PC – NPI #1215011259
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

DR JACK KELLER PC is a provider located in MARION, IL. NPPES has assigned the NPI number 1215011259 to DR JACK KELLER PC on October 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Nov 05, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DR JACK KELLER PC below.

NPI Profile for
DR JACK KELLER PC

NPI Number
1215011259
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DR JACK KELLER PC
Primary location
1008 WEST CHERRY
STE F
MARION, IL 62959
Phone: (618) 997-2919 Fax: (618) 997-6851
Mailing address
1008 WEST CHERRY STE F
MARION, IL 62959
Phone: (618) 997-2919 Fax: (618) 997-6851
Organization Subpart
No
Authorized Official
JACK KELLER
PRESIDENT
Phone: (618) 997-2919
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.