Individual
DR. JOHN L. KELTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4860 Y ST, OPHTH & VISION SCI STE 2400, SACRAMENTO, CA 95817-2307
(916) 734-6310
(916) 734-6197
Mailing address
4860 Y ST, OPHTH & VISION SCI STE 2400, SACRAMENTO, CA 95817-2307
(916) 734-6310
(916) 734-6197
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G15710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR002104I
—
CA
Enumeration date
11/16/2005
Last updated
12/13/2011
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