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KELLER, DAVID JAY
Practice Address: 4 DEER RUN
MENDON VT 05701-9625

Address last updated on 10/3/2009
Phone #: (802) 773-2620
Fax #:
County: NOT OKLAHOMA
License: 26752
Dated: 12/18/2008
Expires: 12/1/2010
Temp. Lic. Issued: 10/31/2008
Temp. Lic. Expires: 1/30/2009
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduated: 5 / 1968
CME Year: 2011
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF ORTHOPAEDIC SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
4 DEER RUN
MENDON VT 05701-9625

Phone #: (802) 773-2620
Fax #:

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