Individual
PAMELA E KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
635 E US HWY, FOREST CITY, IA 50436-0000
(641) 585-2904
(641) 585-5417
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 494-3041
(641) 494-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29418
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19507
WELLMARK
IA
05
—
2099119
—
IA
Enumeration date
08/23/2006
Last updated
07/08/2007
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