CARY S KELLER MD PC
Suppliers at Old Richardson Hwy, Fairbanks, AK

License number
Alaska 38793
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: REBECCA S DEAN
Title: EXECUTIVE DIRECTOR
Phone: (907) 451-6561
Address
Address
751 Old Richardson Hwy SUITE 200, Fairbanks, AK 99701
National Provider ID: 1982805511
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CARY S. KELLER, M.D., PC

1919 Lathrop St, Fairbanks, AK 99701

Registration:
Oct 14, 1986
State ID:
39024D
Business type:
Professional Corporation
Expiration:
Perpetual
Assistant Secretary, Assistant Treasurers:
Cary Keller (Director, Secretary, Vice President, Treasurer, President, Shareholder),Rebecca Dean (Assistant Secretary, Assistant Treasurer)
Agent:
Cary S Keller,1919 Lathrop St, Fairbanks, AK 99701 (Mailing)
Next Report:
20160102

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