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Individual

BRIAN J KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4200 E DIVIDE AVE, RJB ARMORY, BISMARCK, ND 58501-7905
(701) 333-3014
(701) 333-3016
Mailing address
4200 E DIVIDE AVE, RJB ARMORY, BISMARCK, ND 58501-7905
(701) 333-3014
(701) 333-3016

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R26186
ND

Other

Enumeration date
10/16/2006
Last updated
07/08/2007
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