Individual
DR. BOWEN ELIOT KELLER
Active
Individual
DR. BOWEN ELIOT KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40560
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0413830
MEDICA
MN
01
—
1017337
PREFERRED ONE
MN
01
—
124494
UCARE
MN
05
—
476817500
—
MN
01
—
5366669
AETNA
MN
01
—
55Q07KE
BCBS OF MN
MN
01
—
779466
AMERICA'S PPO
MN
01
—
HP26738
HEALTHPARTNERS
MN
Enumeration date
04/19/2006
Last updated
03/11/2021
Update your record
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