Individual
DON LAND KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
648 PARK AVE, MONTGOMERY, AL 36106-1837
(334) 294-9342
Mailing address
648 PARK AVE, MONTGOMERY, AL 36106-1837
(334) 294-9342
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-091032
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9226143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009988575
—
AL
05
—
306849800
—
FL
01
—
59177497
BLUECROSS BLUESHIELD
AL
01
—
G3666
BLUECROSS BLUESHIELD
FL
01
—
P00217034
RAILROAD MEDICARE
FL
Enumeration date
08/15/2005
Last updated
06/27/2013
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