Individual
DR. RAY EUGENE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-3982
(802) 847-5963
Mailing address
117 ELK LN, WILLISTON, VT 05495-7036
(802) 878-0056
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042-0008572
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0460
—
VT
05
—
E01350238
—
NY
Enumeration date
07/07/2006
Last updated
07/08/2007
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