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Contact Information

CARY S KELLER MD PC
1919 LATHROP ST
SUITE 105
FAIRBANKS, AK99701-5937
 Phone: 907-451-6561
 Fax: 907-451-4847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for CARY S KELLER MD PC

NPI # 1922127992
LBN Legal business name CARY S KELLER MD PC
Authorized official REBECCA DEAN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2007
Last updated 06/07/2013 - About 13 years ago
Identifiers
AK License # 38793
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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