Individual
DAVID V KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1424 FERN CREEK DR STE D, STATESVILLE, NC 28625-9376
(704) 878-2058
(704) 872-6576
Mailing address
1424 FERN CREEK DR STE D, STATESVILLE, NC 28625-9376
(704) 878-2058
(704) 872-6576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00703
NC
Other
Enumeration date
11/20/2006
Last updated
09/10/2020
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