Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES ROBERT KELLER, D.O.
Active Sole ProprietorDR. CHARLES ROBERT KELLER, D.O. is a Adolescent Medicine healthcare provider located in LOGAN, Ohio. NPI 1629189311 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · LOGAN, OH
Registration Details
- NPI Number
- 1629189311
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.974930965053 yrs)
- Last Updated
- Nov 23, 2020
- License
-
34003787 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1383 W HUNTER STLOGAN, OH, 431381013Browse OH providers · Browse ZIP 43138
- Phone
- 7403850202
- Fax
- 7403802734
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.