MEDICARE: DR. CHARLES FRANCIS KELLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	42222	AZ
2	207Q00000X	Family Medicine Physician	MD-34238	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730178914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES FRANCIS KELLER MD

Provider Business Mailing Address
First Line	:	PO BOX 1475
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50305-1475
Country	:	US
Telephone Number	:	515-993-4656
Fax Number	:	515-993-4532

Provider Business Practice Location Address
First Line	:	1120 GREENE ST
Second Line	:
City	:	ADEL
State	:	IA
Zip	:	50003-1712
Country	:	US
Telephone Number	:	515-993-4656
Fax Number	:	515-993-4532

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	07/31/2025

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