Individual
MICHAEL B KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 MARION STREET, DENVER, CO 80218-1121
(303) 830-6666
(303) 830-7099
Mailing address
1700 MARION STREET, DENVER, CO 80218-1121
(303) 830-6666
(303) 830-7099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38238
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62233327
—
CO
01
—
P00087185
MEDICARE ID TYPE UNS
CO
Enumeration date
02/16/2007
Last updated
11/19/2013
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