Organization
KELLER PROFESSIONAL GROUP, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE CLAY KELLER D.M.D. (PRESIDENT)
(314) 638-4190
Entity
Organization
Contact information
Practice address
3929 BAYLESS AVE, SAINT LOUIS, MO 63125-1437
(314) 638-4190
(314) 638-3900
Mailing address
3929 BAYLESS AVE, SAINT LOUIS, MO 63125-1437
(314) 638-4190
(314) 638-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/12/2006
Last updated
09/11/2025
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