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Contact Information

KEITH R FELDER SR
24658 CONSTELLATION WAY
MORENO VALLEY, CA92551-7296
 Phone: 951-340-7072
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Transportation Broker

347E00000X
 

Driver

172A00000X
 

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for KEITH R FELDER SR · (Male)

NPI # 1508634700
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2023
Last updated 12/18/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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