Individual
DR. TIM BURKE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 JAMES SIMPSON JR WAY, STE 201, COVINGTON, KY 41011-0801
(859) 655-4111
(859) 655-4815
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 655-4111
(859) 655-4815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33871
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2159159
—
OH
05
—
64338718
—
KY
Enumeration date
03/23/2006
Last updated
10/22/2018
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