Individual
DR. BRENNA MARIA CAMARGO KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
211 SAINT FRANCIS DR, SPECIALTY CLINIC, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5932
Mailing address
211 SAINT FRANCIS DR, SPECIALTY CLINIC, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO1040
AL
207RI0200X
Infectious Disease Physician
Primary
2012019705
MO
207RI0200X
Infectious Disease Physician
DO1040
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2006
Last updated
09/28/2012
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