Individual
DR. CAROLINE S KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2097 HENRY TECKLENBURG DR STE 312W, CHARLESTON, SC 29414-5744
(843) 789-1800
(843) 606-8036
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
14994
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149949
—
SC
01
—
P00998183
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
09/14/2006
Last updated
04/22/2019
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