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Individual

DR. RICHARD S KEBLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD15343
OR
207RN0300X
Nephrology Physician
Primary
MD15343
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00834463
MEDICARE RAILROAD
OR
05
169334
OR
Enumeration date
10/02/2006
Last updated
12/20/2010
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