Individual
WESTON KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
905 VERDAE BLVD STE 202, GREENVILLE, SC 29607-4098
(864) 522-2100
(864) 522-2105
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8615
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
86012
SC
208600000X
Surgery Physician
94-09032
KS
Other
Enumeration date
06/09/2016
Last updated
08/23/2021
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