Kellar, Robert J

Kellar, Robert J is an individual health care provider with primary practice located at 1901 W Kettleman Ln Suite 200, Lodi CA 95242-4337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kellar, Robert J can be contacted via phone (209) 334-8540.

Contact Information

Primary practice address
1901 W Kettleman Ln Suite 200 Lodi CA 95242-4337
Phone: (209) 334-8540
Fax: (209) 368-2885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G22741 California

Profile Details

NPI number 1326005489
LBN Legal business name Kellar, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated May 5th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326005489 NPPES
California MEDICAID 00G227410

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