Individual
JOSEPH KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(000) 000-0000
Mailing address
PO BOX 7411626, CHICAGO, IL 60674-5626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2025020275
MO
Other
Enumeration date
04/10/2020
Last updated
07/07/2025
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