# KELLER VEINS MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497197149
- **Authorized official:** DR. ROBERT P.K. KELLER M.D. (PRESIDENT)
- **Authorized official phone:** (831) 373-1100

## Contact information

- **Practice address:** 950 CASS ST STE B, MONTEREY, CA 93940-4547
- **Practice address phone:** (831) 373-1100
- **Practice address fax:** (831) 373-1630
- **Mailing address:** 950 CASS ST STE B, MONTEREY, CA 93940-4547
- **Mailing address phone:** (831) 373-1100
- **Mailing address fax:** (831) 373-1630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | G-29481 | CA | Yes |

## Other

- **Enumeration date:** 07/23/2013
- **Last updated:** 07/23/2013