Organization
CARY S KELLER MD PC
Active
Other names
Sportsmedicine Fairbanks
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA S DEAN (EXECUTIVE DIRECTOR)
(907) 451-6561
Entity
Organization
Contact information
Practice address
1919 LATHROP ST, SUITE 105, FAIRBANKS, AK 99701-5937
(907) 451-6561
(907) 451-4847
Mailing address
1919 LATHROP ST, SUITE 105, FAIRBANKS, AK 99701-5937
(907) 451-6561
(907) 451-4847
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38793
AK
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
38793
AK
2083S0010X
Sports Medicine (Preventive Medicine) Physician
38793
AK
Other
Enumeration date
03/28/2007
Last updated
06/07/2013
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