Individual
DR. CARY S KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 OLD RICHARDSON HWY, STE# 200, FAIRBANKS, AK 99701-7813
(907) 451-6561
(907) 451-4847
Mailing address
1919 LATHROP ST, STE 105, FAIRBANKS, AK 99701-5937
(907) 451-6561
(907) 451-4847
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
AA3013
AK
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
AA 3013
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD9953
—
AK
Enumeration date
08/31/2006
Last updated
11/21/2017
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