Keller, Martin S

Keller, Martin S is an individual health care provider with primary practice located at 1 Childrens Pl Div Surg Ped, Ste 2A, Saint Louis MO 63110-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Keller, Martin S can be contacted via phone (314) 454-6022.

Contact Information

Primary practice address
1 Childrens Pl Div Surg Ped, Ste 2A Saint Louis MO 63110-1002
Phone: (314) 454-6022
Fax: (314) 454-2442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 106695 Missouri
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 042-0015839 Vermont

Profile Details

NPI number 1811091424
LBN Legal business name Keller, Martin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 2nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811091424 NPPES
Missouri MEDICAID 205096605

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