Keller, Michael C

Keller, Michael C is an individual health care provider with primary practice located at 103 Hurley Ave , Kingston NY 12401. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Keller, Michael C can be contacted via phone (845) 339-4191.

Contact Information

Primary practice address
103 Hurley Ave Kingston NY 12401
Phone: (845) 339-4191
Fax: (845) 331-6894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N005226 New York

Profile Details

NPI number 1033186804
LBN Legal business name Keller, Michael C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 10th, 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 1033186804 NPPES
New York MEDICAID 02156494

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