Doctor Name: | MICHAEL W KELLER |
NPI Number: | 1952319105 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35051741 |
Business Practice Address: | 4000 Miamisburg-ctrvle Rd Miamisburg, OH - 453423660 |
Business Phone Number: | 9378593294 |
Business Fax Number: | 9378590761 |
Mailing Address: | 4000 Miamisburg Centerville Rd, Suite 1 MIAMISBURG |
State: | OH |
Postal Code: | 453427615 |
Phone Number: | 9378593294 |
Fax Number: | 9378590761 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 04/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35051741 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |