Individual
MICHAEL L KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., PHARM.D.
Contact information
Practice address
141 HOSPITAL DRIVE, SALEM, KY 42078
(270) 988-3230
(270) 988-4230
Mailing address
PO BOX 498, SALEM, KY 42078-0498
(270) 988-3230
(270) 988-4230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007739
KY
1835N1003X
Nutrition Support Pharmacist
007739
KY
1835P1200X
Pharmacotherapy Pharmacist
007739
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007739
PHARMACIST LICENSE
KY
Enumeration date
10/05/2006
Last updated
08/09/2010
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