Individual
DR. JAMES W KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
735 NORMAN DR, LEBANON, PA 17042-7497
(717) 270-7908
(717) 272-1734
Mailing address
PO BOX 300, LEBANON, PA 17042-0300
(717) 270-7780
(717) 274-9746
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD024847E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001064030
—
PA
Enumeration date
08/04/2006
Last updated
11/26/2014
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