Individual
DR. DARREL D. KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
282 S MILL ST, NASHVILLE, IL 62263-1833
(618) 327-4422
(618) 327-4423
Mailing address
282 S MILL ST, NASHVILLE, IL 62263-1833
(618) 327-4422
(618) 327-4423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-A16016
IL
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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