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Individual

BENJAMIN ALAN KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3030 CHILDRENS WAY, SAN DIEGO, CA 92123-4232
(858) 966-7711
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A118158
CA
2086S0120X
Pediatric Surgery Physician
Primary
A118158
CA

Other

Enumeration date
05/27/2010
Last updated
07/14/2020
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