Individual
DR. KENNETH RONALD KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2449 ROSS MILLVILLE RD, HAMILTON, OH 45013-8951
(513) 856-7360
Mailing address
27 E DIXON AVE, DAYTON, OH 45419-3438
(937) 643-9032
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34 003913
OH
207Q00000X
Family Medicine Physician
Primary
34.003913
OH
2083X0100X
Occupational Medicine Physician
34 003913
OH
Other
Enumeration date
02/12/2007
Last updated
06/07/2012
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