Organization
MICHAEL P KELLER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY KINKADE (BUSINESS MANAGER)
(505) 522-5955
Entity
Organization
Contact information
Practice address
3900 E LOHMAN AVE STE B, LAS CRUCES, NM 88011-8274
(505) 522-5955
(505) 522-6228
Mailing address
3900 E LOHMAN AVE STE B, LAS CRUCES, NM 88011-8274
(505) 522-5955
(505) 522-6228
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2001-231
NM
Other
Enumeration date
06/08/2007
Last updated
09/24/2007
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