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Contact Information

MICHAEL C KELLER, DPM
103 HURLEY AVE
KINGSTON, NY12401
 Phone: 845-339-4191
 Fax: 845-331-6894
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

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

NPI # 1033186804
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/01/2006
Last updated 01/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # N005226
  • NY Medicaid 02156494
Hospital affiliation(s)
  • BENEDICTINE HOSPITAL - (Acute Care)
    105 MARY'S AVENUE
    KINGSTON, NY 12401
  • NORTHERN DUTCHESS HOSPITAL - (Acute Care)
    6511 SPRINGBROOK AVENUE
    RHINEBECK, NY 12572
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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