Individual
MELINDA C KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5911 16TH AVE, BROOKLYN, NY 11204-2114
(718) 234-6200
(718) 234-6210
Mailing address
5911 16TH AVE, BROOKLYN, NY 11204-2114
(718) 234-6200
(718) 234-6210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X002968-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02568041
—
NY
01
—
100063047901
AMERICHOICE
NY
01
—
166252
ELDERPLAN
NY
01
—
5897420
GHI
NY
01
—
P2103354
OXFORD
NY
01
—
X7P121
BLUE CROSS BLUE SHIELD
NY
Enumeration date
05/27/2006
Last updated
10/09/2012
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