Individual
BRIAN T KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 267-3000
(717) 267-7414
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R229506
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
RN532443
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050514
MEDICARE GROUP #
PA
01
—
1007307260035
MEDICAID GROUP #
PA
05
—
101836176
—
PA
01
—
RN532443
LICENSE
PA
Enumeration date
11/17/2006
Last updated
06/18/2025
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