Organization
KRISTOPHER KELLER DDS MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER KELLER DDS, MS (MANAGING MEMBER)
(423) 246-3001
Entity
Organization
Contact information
Practice address
1200 PULITZER PL, KINGSPORT, TN 37660-1568
(423) 246-3001
Mailing address
1200 PULITZER PL, KINGSPORT, TN 37660-1568
(423) 246-3001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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