Individual
DR. EUGENE LESTER KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4305 POINSETTIA ST, SAN LUIS OBISPO, CA 93401-7638
(805) 459-9636
Mailing address
4305 POINSETTIA ST, SAN LUIS OBISPO, CA 93401-7638
(805) 459-9636
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G22156
CA
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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