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Organization

UPSTATE PLASTIC SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN M KELLER MD (PHY OWNER)
(864) 968-0168
Entity
Organization

Contact information

Practice address
301 THE PARKWAY, GREER, SC 29650
(864) 968-0168
(864) 968-9248
Mailing address
301 THE PARKWAY, GREER, SC 29650
(864) 968-0168
(864) 968-9248

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1467569574
NPI KEVIN M KELLER MD
01
1558475574
NPI ELIZABETH A ROTHMAN M
05
161372
SC
01
1952419863
NPI JAMES E LOVETT III MD
Enumeration date
12/05/2006
Last updated
08/22/2020
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