Individual
DR. AMY MARIE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
115 W UPTON AVE, REED CITY, MI 49677-1129
(231) 832-3133
(231) 832-1417
Mailing address
115 W. UPTON AVENUE, REED CITY, MI 49677
(231) 832-3133
(231) 832-1417
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N43890
MEDICARE
MI
Enumeration date
08/30/2006
Last updated
07/09/2008
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