Individual
MICHELLE MCINNIS KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
314 UNION STATION DR, SENECA, SC 29678-4547
(864) 482-7900
Mailing address
21 ROCKY MEADOW CT, GREENVILLE, SC 29615-3663
(864) 640-2124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DG8735
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2015
Last updated
06/07/2022
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