Individual
TERESA H KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16 S DUPONT HWY, MILFORD, DE 19963-1027
(302) 422-2022
(302) 422-5366
Mailing address
16 S DUPONT HWY, MILFORD, DE 19963-1027
(302) 422-2022
(302) 422-5366
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
C1-0002416
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000092301
—
DE
01
—
00069813000
AMERIHEALTH
DE
Enumeration date
07/13/2005
Last updated
10/14/2013
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