# DR. JOEL JAY KELLNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154372910
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD179176 | OR | Yes |
| 207L00000X | Anesthesiology Physician | ME31624 | CO | — |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 10/15/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001316249 | — | CO |
| 01 | — | 050038171 | RAILROAD MEDICARE | CO |
| 05 | — | 500719254 | — | OR |
| 01 | — | A6568 | ANTHEM/BLUE CROSS | CO |