| Doctor Name: | DR. CHAD ROBER KELLER |
| NPI Number: | 1003100082 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | PENDING |
| Business Practice Address: | 5100 W Broad St Columbus, OH - 432281607 |
| Business Phone Number: | 6145442090 |
| Business Fax Number: | 6145441751 |
| Mailing Address: | 4377 Times Square Blvd, DUBLIN |
| State: | OH |
| Postal Code: | 430167108 |
| Phone Number: | 6143784849 |
| Fax Number: | |
| NPI Enumeration Date: | 06/07/2011 |
| NPI Last Update Date: | 06/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | PENDING |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |