Dustin Keller Enterprises LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DUSTIN KELLER ENTERPRISES LLC

Practice address

1547 Red Bottom Rd
Brookneal, VA 24528

Phone

(434) 610-8895

NPI assigned

Apr 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dustin Tye Keller

Title

Owner/Operator

Phone

(434) 610-8895

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1982166047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 RED BOTTOM RD.",
            "city": "BROOKNEAL",
            "state": "VA",
            "postal_code": "24528",
            "telephone_number": "434-610-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 RED BOTTOM RD",
            "city": "BROOKNEAL",
            "state": "VA",
            "postal_code": "24528",
            "telephone_number": "434-610-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTIN KELLER ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "TYE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "434-610-8895"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Brookneal, VA
• Providers in Brookneal, VA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.