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TERRY RAY KELLER — Medicare Enrolled Provider (PRACTITIONER - MENTAL HEALTH COUNSELOR, OR)

TERRY RAY KELLER — Medicare Enrolled Provider (PRACTITIONER - MENTAL HEALTH COUNSELOR, OR) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: TERRY RAY KELLER; Type: Individual; NPI: 1003117474.

NameTERRY RAY KELLER
TypeIndividual
NPI1003117474
Provider typePRACTITIONER - MENTAL HEALTH COUNSELOR
StateOR
Enrollment IDI20250709003919
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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