Individual
MR. GERALD LOUIS KELLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNFA
Contact information
Practice address
10435 CLAYTON RD, FRONTENAC, MO 63131-2909
(314) 995-3990
Mailing address
543 MINUS DR, SAINT PETERS, MO 63376-4089
(636) 397-4512
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
079627
MO
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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