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Individual

ROBERT B KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
49 SPRING ST, 1ST FLOOR, SCARBOROUGH, ME 04074-8926
(207) 885-4479
(207) 883-2586
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD9796
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
283460099
ME
05
30225155
NH
Enumeration date
06/14/2006
Last updated
03/13/2012
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