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Contact Information

TYLER J KELLER, MD
6641 DIXIE HWY
LOUISVILLE, KY40258-3909
 Phone: 502-364-0902
 Fax: 502-364-0099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TYLER J KELLER · (Male)

NPI Number 1669738506
Status Active
Credentials MD
Entity Individual
Enumeration date 04/04/2012
Last updated 08/19/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 51057
  • KY Medicaid 7100546170
Hospital affiliation(s)
  • BAPTIST HOSPITAL EAST - (Acute Care)
    4000 KRESGE WAY
    LOUISVILLE, KY 40207
  • JEWISH HOSPITAL & ST MARY'S HEALTHCARE - (Acute Care)
    200 ABRAHAM FLEXNER WAY
    LOUISVILLE, KY 40202
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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