IndividualActive
Derek Keller, MD
NPI 1649420274 · Anesthesiology Physician · Providence, RI
Provider details
- NPI number
- 1649420274
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 236696 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
593 Eddy Street
Davol 129
Providence, RI 02903-4923
Phone: (401) 444-4933
Fax: (401) 444-5090
Approximate (ZIP-level) locationGet directions
Mailing address
One Virginia Avenue
Providence, RI 02905
Registry dates
- Enumerated
- 2008-09-18
- Last updated
- 2013-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.