Individual
CHAD ROBERT KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4439 STATE ROUTE 159 STE G70, CHILLICOTHE, OH 45601-7203
(407) 794-3987
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 589-3100
(740) 589-3123
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
34.011623
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176981
—
OH
05
—
1003100082
—
WV
Enumeration date
06/07/2011
Last updated
11/17/2020
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