Individual
DR. DAVID JAY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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