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CARY S KELLER MD PC NPI 1922127992


NPI Information

NPI: 1922127992
Provider Name: CARY S KELLER MD PC

Doing Business As: SPORTSMEDICINE FAIRBANKS

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1919 LATHROP ST
SUITE 105
FAIRBANKS, AK
ZIP 99701
Phone: (907) 451-6561
Get Directions

CARY S KELLER MD PC is an orthopaedic surgery in Fairbanks, AK. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. CARY S KELLER MD PC NPI is 1922127992. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Sportsmedicine Fairbanks.

The provider's business location address is:

1919 LATHROP ST
SUITE 105
FAIRBANKS, AK
ZIP 99701-937
Phone: (907) 451-6561
Fax: (907) 451-4847

The provider's authorized official is Rebecca S Dean .
The authorized official title is Executive Director and has the following contact phone number (907) 451-6561.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 6/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports Medicine38793ALASKANo
22083S0010XPreventive MedicineSports Medicine38793ALASKANo
3207X00000XOrthopaedic Surgery38793ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K150742MEDICARE ID-TYPE UNSPECIFIEDALASKAGROUP MEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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