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Individual

CASE KELTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
USAMEDDAC 2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755
(301) 677-8800
Mailing address
USAMEDDAC 2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755
(301) 677-8800

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
0101277441
VA
208D00000X
General Practice Physician
0101277441
VA

Other

Enumeration date
09/02/2019
Last updated
07/18/2024
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