Individual
MR. KELLER ANDREW RIEDE JR.
Active
Individual
MR. KELLER ANDREW RIEDE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39447
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373509
ANTHEM
KY
01
—
000000587061
ANTHEM - NIS
KY
01
—
000023034O
HUMANA - NIS
KY
01
—
00533071
MEDICARE - NIS
KY
01
—
099184
SIHO - NIS
KY
01
—
200804010
MEDICAID - IN - NIS
IN
01
—
2545169
UNITED HEALTH CARE
KY
01
—
2706323
CIGNA - NIS
KY
01
—
3856218
AETNA HMO ONLY
KY
01
—
50008029
PASSPORT KY
KY
01
—
50020902
PASSPORT - NIS
KY
01
—
64117104
MEDICAID - NIS
KY
05
—
64117104
—
KY
01
—
7804714
AETNA
KY
01
—
P00265558
MEDICARE RR
KY
01
—
P00641377
RAILROAD KY MEDICARE - NIS
KY
Enumeration date
10/12/2006
Last updated
07/21/2016
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