Keller, Roberta L.

Keller, Roberta L. is an individual health care provider with primary practice located at 505 Parnassus Ave 15Th Fl Icn , San Francisco CA 94143-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Keller, Roberta L. can be contacted via phone (415) 353-1565.

Contact Information

Primary practice address
505 Parnassus Ave 15Th Fl Icn San Francisco CA 94143-0001
Phone: (415) 353-1565
Fax: (415) 353-1202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G80616 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X G80616 California

Profile Details

NPI number 1245253772
LBN Legal business name Keller, Roberta L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 15th, 2008 - 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 1245253772 NPPES
California MEDICAID 00G806160

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