Individual
DR. STEPHEN M KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 CABIN GROVE LN, SAINT LOUIS, MO 63141-8171
(314) 307-1087
Mailing address
307 CABIN GROVE LN, SAINT LOUIS, MO 63141-8171
(314) 307-1087
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R9591
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203719901
—
MO
Enumeration date
04/10/2006
Last updated
08/14/2014
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