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Dr. Charles Robert Keller, DO
Adult Medicine Physician in Logan, Ohio
NPI 1629189311

Charles Robert Keller is an Adult Medicine Physician based in Logan, OH and is specialized in Adult Medicine. Charles Robert Keller practices in Logan, OH and has the professional credentials of DO. The NPI Number for Charles Robert Keller is 1629189311 and holds a License No. 34003787 (Ohio).

The current practice location address for Charles Robert Keller is 1383 W Hunter St, Logan, OH and can be reached out via phone at 740-385-0202 and via fax at 740-380-2734.

Location: 1383 W Hunter St, Logan, OH, 43138-0228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629189311
Provider Name
Charles Robert Keller
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1383 W Hunter St, Logan, OH, 43138-0228
Phone Number
740-385-0202
Fax Number
740-380-2734
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0565240 05 OH
institution
Provider Business Practice Location Address Details
Address
1383 W Hunter St
City
Logan
State
Ohio
Zip
43138-1013
Phone Number
740-385-0202
Fax Number
740-380-2734
person
Provider Business Mailing Address Details
Address
1383 W Hunter St
City
Logan
State
Ohio
Zip
43138-1013
Phone Number
740-385-0202
Fax Number
740-380-2734
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
34003787 (Ohio)
Definition
Definition to come.
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