Doctor Name: | JOHN HENRY KEILERS |
NPI Number: | 1144557133 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | |
Business Practice Address: | 301 E Iowa Ave Fountain, CO - 808172290 |
Business Phone Number: | 7195726330 |
Business Fax Number: | 7195726080 |
Mailing Address: | 220 Ruskin Dr, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809102522 |
Phone Number: | 7195726100 |
Fax Number: | 7195726199 |
NPI Enumeration Date: | 11/11/2009 |
NPI Last Update Date: | 11/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |