Individual
MICHAEL C KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
103 HURLEY AVE, KINGSTON, NY 12401
(845) 339-4191
(845) 331-6894
Mailing address
103 HURLEY AVE, KINGSTON, NY 12401
(845) 339-4191
(845) 331-6894
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005226
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02156494
—
NY
Enumeration date
03/01/2006
Last updated
01/10/2022
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