| Doctor Name: | MICHAEL B KERALIS |
| NPI Number: | 1881796530 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 17014 |
| Business Practice Address: | 3910 Village Dr Lincoln, NE - 685164783 |
| Business Phone Number: | 4024347383 |
| Business Fax Number: | 4024347382 |
| Mailing Address: | 8055 O St, Ste 300 LINCOLN |
| State: | NE |
| Postal Code: | 685102580 |
| Phone Number: | 4024210896 |
| Fax Number: | 4024210945 |
| NPI Enumeration Date: | 09/02/2006 |
| NPI Last Update Date: | 02/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17014 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |