Provider Demographics
NPI:1306392055
Name:KELLER HEARING LLC
Entity Type:Organization
Organization Name:KELLER HEARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-527-3275
Mailing Address - Street 1:5740 S FORT APACHE RD
Mailing Address - Street 2:STE 120
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5505
Mailing Address - Country:US
Mailing Address - Phone:702-527-3275
Mailing Address - Fax:702-441-0861
Practice Address - Street 1:5740 S FORT APACHE RD
Practice Address - Street 2:STE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5505
Practice Address - Country:US
Practice Address - Phone:702-527-3275
Practice Address - Fax:702-441-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty