IndividualActive
Carl Keller
NPI 1407664212 · Intermediate Emergency Medical Technician · Fayetteville, AR
Provider details
- NPI number
- 1407664212
- Entity type
- Individual
- Primary specialty
- Intermediate Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 26249 (AR)
Mailing address
15775 Oak Chase Dr
Fayetteville, AR 72704-9721
Registry dates
- Enumerated
- 2024-12-26
- Last updated
- 2024-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.