Derek H. Keller MD

NPI 1649420274 - Internal Medicine - 207R00000X

NPI Details
NPI 1649420274
Gender Male
Enumeration Date 09/18/2008
Last Updated 10/04/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
593 EDDY STREET
DAVOL 129
PROVIDENCE RI, 02903-4923, US
Phone (401) 444-4933
Fax (401) 444-5090
Business Location
ONE VIRGINIA AVENUE
SUITE 201
PROVIDENCE RI, 02905, US
Phone (401) 490-0916
Fax (401) 490-0979
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 236696
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According to our database, Derek H. Keller MD NPI is 1649420274, taxonomy code is 207R00000X and license number is 236696, license state is located at Massachusetts. Derek H. Keller MD physically located at 593 Eddy Street, Providence RI, 02903-4923. NPI Number Derek H. Keller MD has the Individual type.

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1649420274 NPI number is provided on an as is basis without warranty of any kind. 1649420274 is maintained by the National Plan & Provider Enumeration System. The contents of Derek H. Keller MD are for informational purposes only.