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Individual

DR. GLEN E KELLER

Active
Find providers by NPI
Individual

DR. GLEN E KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3369
OH
111N00000X
Chiropractor
CHIA 576
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000509974
BLUE CROSS
OH
01
—
1003201
AMERICAN SPECIALTY HEALTH
OH
01
—
11176716
CAQH
OH
05
—
2474059
—
OH
01
—
5585251
AETNA
OH
01
—
665855
AMERICAN CHIRO NTWRK(ACN)
OH
Enumeration date
01/17/2006
Last updated
04/08/2008
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