Individual
MICHAEL MASON KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1401 10TH AVE W, MOBRIDGE, SD 57601-1106
(605) 845-3692
Mailing address
1401 10TH AVE W, MOBRIDGE, SD 57601-1106
(605) 848-3692
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP003779
SD
Other
Enumeration date
08/20/2025
Last updated
09/09/2025
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