Individual
JOHN JEFFREY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4437 STATE ROUTE 159, SUITE 125, CHILLICOTHE, OH 45601-7065
(740) 779-4570
(740) 779-4579
Mailing address
4437 STATE ROUTE 159 STE 125, CHILLICOTHE, OH 45601-7065
(740) 779-4570
(740) 779-4579
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35076888
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000362661
ANTHEM BCBS
—
01
—
130671
NATIONWIDE
—
01
—
2504684
UNITED HEALTHCARE
—
05
—
2592001
—
OH
01
—
P00236852
RAILROAD MEDICARE
—
Enumeration date
04/07/2006
Last updated
07/15/2024
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