Individual
DAVID MARK KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 EAST MAIN ST, RICHMOND, IN 47374
(765) 973-9294
(765) 973-9233
Mailing address
203 EAST MAIN ST, RICHMOND, IN 47374
(765) 973-9294
(765) 973-9233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01034245A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100321440A
—
IN
Enumeration date
11/02/2006
Last updated
11/16/2007
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