Dr. Kenneth Keller, M.D.
Orthopaedic Surgery in Fort Morgan, CO. Individual provider (NPI-1).
NPI number1104976802
StatusActive
Last updated in NPPESJul 30, 2012
Details
- NPI
- 1104976802
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Keller
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 12, 2007
- Last updated
- Jul 30, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ORTHOPEDIC SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 36926 | CO | Yes |
Practice location
220 E Beaver AveFort Morgan, CO 80701-3103
Phone 970-542-1707 · Fax 970-542-1708
Mailing address
220 E Beaver AveFort Morgan, CO 80701-3103
Phone 970-542-1707 · Fax 970-542-1708
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