Individual
MICHAEL WILFORD KELBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 DIETZ AVE NE, KEIZER, OR 97303-4615
(503) 814-4400
Mailing address
PO BOX 13129, SALEM, OR 97309-1129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10647
OR
Other
Enumeration date
10/04/2006
Last updated
12/28/2018
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