| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Thomas McNeese Keller | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | UPIN: A43302 | [sources] | |||
| First name | Thomas | [sources] | |||
| Last name | Keller | [sources] | |||
| Middle name | McNeese | [sources] | |||
| NPI | 1356318232 · 1760781231 | [sources] | |||
| Registration number | 00G272880 · G27288 | [sources] | |||
| Sector | Physician | [sources] | |||
| Unique Entity ID | GNV4DP86SYB4 | [sources] | |||
| Position | PAIN MANAGEMENT (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | 751 Church Street, Santa Rosa, CA, 95405 · P O BOX 3007, SAN PEDRO, CA 90733 · SAN PEDRO, CA 90733, USA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
People and companies excluded from Federally funded health care programs
United States · OIG
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
us-medca-f9daf54faaa4daec7717f7e722ce34195fe133bd · us-fed-excl-thomas-mcneese-keller-90733-san-pedroFor experts: raw data explorer
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| United States | OPM | Reciprocal | - |
| United States | Department of Health Care Services | - | - |