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NPI Verification

National Provider Identifier: 1891780995

Mark Alvin Kellerman, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

12129 UNIVERSITY AVE STE 100

CLIVE, IA 503258298

Phone: 515-400-3550

NPI Enumeration Date

September 14, 2005

NPI Number

1891780995

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry