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Organization
KENNETH KELLER MD PC
Active
Organization
KENNETH KELLER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KELLER M.D. (OWNER)
(970) 542-1707
Entity
Organization
Contact information
Practice address
220 E BEAVER AVE, FORT MORGAN, CO 80701-3103
(970) 542-1707
(970) 542-1708
Mailing address
220 E BEAVER AVE, FORT MORGAN, CO 80701-3103
(970) 542-1707
(970) 542-1708
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36926
CO
Other
Enumeration date
04/23/2008
Last updated
07/30/2012
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