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Individual
DR. JOEL JAY KELLNER
Active
Individual
DR. JOEL JAY KELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD179176
OR
207L00000X
Anesthesiology Physician
ME31624
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001316249
—
CO
01
—
050038171
RAILROAD MEDICARE
CO
05
—
500719254
—
OR
01
—
A6568
ANTHEM/BLUE CROSS
CO
Enumeration date
05/15/2006
Last updated
10/15/2018
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