Individual
DR. DAVID M KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
74085
MA
208000000X
Pediatrics Physician
Primary
DR.0052965
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077608
—
MA
Enumeration date
12/01/2005
Last updated
09/22/2013
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