Individual
KRISTOPHER JACOB KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 PULITZER PL, KINGSPORT, TN 37660-1568
(423) 246-3001
Mailing address
1200 PULITZER PL, KINGSPORT, TN 37660-1568
(423) 246-3001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12948
TN
Other
Enumeration date
12/12/2018
Last updated
10/31/2025
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