Individual
DR. ALBERT R KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 29TH ST, SUITE 109, OAKLAND, CA 94609-3519
(510) 663-6204
Mailing address
PO BOX 282848, SAN FRANCISCO, CA 94128-2848
(650) 616-2948
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
G12937
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G12937
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G129370
—
CA
Enumeration date
08/14/2006
Last updated
11/12/2013
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