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Individual

DR. KEVIN METZ KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 THE PARKWAY, GREER, SC 29650
(864) 968-0168
(864) 968-9248
Mailing address
49 PARKINS LAKE RD, GREENVILLE, SC 29607
(864) 423-9611

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
16137
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
161372
SC
Enumeration date
08/24/2006
Last updated
07/08/2007
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