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Individual
DR. CAROLINE S KELLER
Active
Individual
DR. CAROLINE S KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
14994
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149949
—
SC
01
—
P00998183
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
09/14/2006
Last updated
04/22/2019
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