Keltner, John L.

Keltner, John L. is an sole proprietor health care provider with primary practice located at 4860 Y St Ophth & Vision Sci Ste 2400, Sacramento CA 95817-2307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Keltner, John L. can be contacted via phone (916) 734-6310.

Contact Information

Primary practice address
4860 Y St Ophth & Vision Sci Ste 2400 Sacramento CA 95817-2307
Fax: (916) 734-6197
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G15710 California

Profile Details

NPI number 1659353522
LBN Legal business name Keltner, John L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated Dec 13th, 2011 - about 15 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 1659353522 NPPES
California MEDICAID GR002104I

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