Kellerman, Mark Alvin
Kellerman, Mark Alvin is an individual health care provider with primary practice located at 1350 Des Moines St Ste 100 , Des Moines IA 50309-5507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kellerman, Mark Alvin can be contacted via phone (515) 643-0400.Contact Information
Primary practice address
1350 Des Moines St Ste 100
Des Moines IA 50309-5507
Phone: (515) 643-0400
Fax: (515) 643-0401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD-35053 | Iowa |
Profile Details
| NPI number | 1891780995 |
|---|---|
| LBN Legal business name | Kellerman, Mark Alvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jul 29th, 2019 - about 5 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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