Individual
MICHAEL R KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 W GRANADA BLVD, STE. 46, ORMOND BEACH, FL 32174-9435
(386) 672-2810
(386) 673-1622
Mailing address
215 SHUMAN BLVD, STE. 401, NAPERVILLE, IL 60563-8458
(630) 303-8235
(978) 313-6824
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS4835
FL
Other
Enumeration date
09/06/2012
Last updated
09/26/2016
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