Individual
NELSON GEORGE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4030 GEORGE WASHINGTON MEM HWY STE B, GRAFTON, VA 23692-2619
(757) 898-5500
(757) 898-8001
Mailing address
730 THIMBLE SHOALS BLVD STE 130, NEWPORT NEWS, VA 23606-4562
(757) 873-1554
(757) 873-3239
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0103001053
VA
213EP1101X
Primary Podiatric Medicine Podiatrist
0103001053
VA
213ES0000X
Sports Medicine Podiatrist
0103001053
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103001053
VA
213ES0131X
Foot Surgery Podiatrist
0103001053
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009300562
—
VA
01
—
1558377408
MAMSI
VA
01
—
480030191
RAILROAD MEDICARE
VA
01
—
5166525
AETNA
VA
Enumeration date
07/31/2006
Last updated
02/16/2026
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