Individual
RONALD EDWARD KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1307 FEDERAL ST, SUITE 101, PITTSBURGH, PA 15212-4769
(412) 231-6550
(412) 231-6697
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN308280COA1
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN316539L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000547845
ANTHEM BCBS
OH
05
—
101457049
—
PA
05
—
2442182
—
OH
01
—
8241401
MEDICARE PTAN
OH
01
—
H172870
MEDICARE PTAN
OH
01
—
KE1756956
HIGHMARK BCBS
PA
01
—
P00401820
MEDICARE RAILROAD
PA
01
—
P01321181
MEDICARE RAILROAD
OH
Enumeration date
03/11/2006
Last updated
10/22/2014
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