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NPI Code Detail

MEDICARE: MICHAELA KELLER

MEDICARE: MICHAELA KELLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist12885NC

General Provider Information

NPI Number : 1467972349
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELA KELLER
Provider Business Mailing Address
First Line : 2500 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4314
Country : US
Telephone Number : 336-375-2240
Fax Number :
Provider Business Practice Location Address
First Line : 2500 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4314
Country : US
Telephone Number : 336-375-2240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2017
Last Update Date : 12/08/2025

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Directions to “ MICHAELA KELLER ” Practice Location

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