# WVP MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WVP MEDICAL GROUP, LLC
- **Other names:** Michael W Kelber, MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710231550
- **Legal business name:** WVP MEDICAL GROUP, LLC
- **Authorized official:** DEAN ANDRETTA (CFO)
- **Authorized official phone:** (503) 371-7701

## Contact information

- **Practice address:** 2365 GREAR ST NE, SALEM, OR 97301-2747
- **Practice address phone:** (503) 391-6615
- **Mailing address:** 2365 GREAR ST NE, SALEM, OR 97301-2747
- **Mailing address phone:** (503) 391-6615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD10647 | OR | Yes |

## Other

- **Enumeration date:** 11/01/2012
- **Last updated:** 10/02/2014