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Contact Information

MICHAEL G KELLER, DO
3133 SABA LN
PORT NECHES, TX77651
 Phone: 409-962-7606
 Fax: 409-962-6027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL G KELLER · (Male)

NPI Number 1417945734
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/11/2005
Last updated 05/31/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # F1700
  • TX Medicaid 093658503
Hospital affiliation(s)
  • CHRISTUS HOSPITAL - (Acute Care)
    2830 CALDER AVENUE
    BEAUMONT, TX 77702
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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