Individual
DR. RYAN JAMES KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9511 ANTILLES DR, SEMINOLE, FL 33776-1402
(303) 266-0543
Mailing address
9511 ANTILLES DR, SEMINOLE, FL 33776-1402
(303) 266-0543
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036-121866
IL
207L00000X
Anesthesiology Physician
Primary
DR.0051234
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097543
—
IA
05
—
17435277
—
CO
01
—
P01223548
RR MEDICARE
CO
Enumeration date
01/30/2010
Last updated
12/08/2017
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