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Individual

JAMES L KELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2845 CAPITAL AVE SW, SUITE 202, BATTLE CREEK, MI 49015-4185
(269) 979-6305
(269) 979-6329
Mailing address
2845 CAPITAL AVE SW, SUITE 202, BATTLE CREEK, MI 49015-4185
(269) 979-6305
(269) 979-6329

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301066800
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180130111
BCBSM
MI
05
3207679
MI
Enumeration date
03/08/2006
Last updated
09/16/2010
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