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Individual

ALEXANDER P. KELLER IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
88 MDG/SGH, WRIGHT-PATTERSON AFB, OH 45433
(937) 938-2758
Mailing address
5519 COTTONROSE DR, DAYTON, OH 45431-1579
(706) 714-6878

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
S7471
TX
207P00000X
Emergency Medicine Physician
058258
GA
207P00000X
Emergency Medicine Physician
Primary
35.150633
OH
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
S7471
TX
2083A0100X
Aerospace Medicine Physician
058258
GA

Other

Enumeration date
03/23/2006
Last updated
09/24/2024
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