Individual provider · Type 1 NPI

Samuel Kellner, DPM

Foot & Ankle Surgery Podiatrist · Waterbury, CT

NPI number 1386164077 Active

Practice location

171 Grandview Ave Ste 104
Waterbury, CT 06708-2517

Fax (203) 753-5891

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X001121 (CT)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1386164077

Samuel Kellner, DPM's National Provider Identifier is 1386164077, issued on Jun 22, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Waterbury, CT. The record was last updated on Jun 7, 2023.