Keter Elite LLC

NPI #1689344830 in Allen, Texas

Provider Information

NPI Number: 1689344830
Entity Type: Organization
Organization Name: Keter Elite LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 19, 2021
Last Updated: Sep 30, 2021

Practice Location

Address: 1813 TRUSCOTT LN
City: Allen
State: Texas
ZIP Code: 75013-5425
Phone: (405) 317-3476

Authorized Official

Name: DR. YI XIONG, DO
Title: SUPERVISING PHYSICIAN
Phone: (405) 317-3476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X
Internal Medicine	207R00000X	Primary

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