Individual
STEWART R KELLER
Active
Individual
STEWART R KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J0038
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096815803
—
TX
01
—
8AJ514
BCBS
TX
01
—
J0038
STATE LICENSE
TX
01
—
P00279334
MEDICARE RR
—
Enumeration date
05/18/2006
Last updated
09/02/2026
Update your record
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