Individual
BART R KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
410 S WILCOX ST, CASTLE ROCK, CO 80104-2662
(303) 688-6900
(303) 660-6504
Mailing address
410 S WILCOX ST, CASTLE ROCK, CO 80104-2662
(303) 688-6900
(303) 660-6504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003377
CO
363AS0400X
Surgical Physician Assistant
5601002360
MI
Other
Enumeration date
07/14/2005
Last updated
03/07/2023
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