Individual
DR. DAVID JAY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44 BIRCH ST, SUITE 200, DERRY, NH 03038-2752
(603) 421-9130
(603) 421-2451
Mailing address
3 ALBERT CREE DR, RUTLAND, VT 05701-4601
(802) 775-2937
(802) 773-0934
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0420005877
VT
207X00000X
Orthopaedic Surgery Physician
Primary
LT-2804
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00004705
BCBS OF VT
VT
05
—
0004705
—
VT
01
—
18145
MOHAWK VALLEY PHYSICIAN
VT
05
—
30208575
—
NH
01
—
329603
CIGNA
VT
01
—
4971
CAPITAL DIST PHY HEALTH P
VT
Enumeration date
09/20/2005
Last updated
06/19/2009
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