Individual
REBEKAH DIANE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
740 S LIMESTONE STE B200, LEXINGTON, KY 40536-1032
(859) 257-3533
(859) 218-7693
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 362-8200
(314) 454-5244
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
2023010939
MO
208800000X
Urology Physician
Primary
59992
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200122003
—
MO
Enumeration date
05/18/2018
Last updated
01/13/2025
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