NPI 1386164077

Samuel Kellner, DPM

Practitioner Foot & Ankle Surgery Podiatrist Waterbury, CT

Practice location

Address: 171 Grandview Ave STE 104, Waterbury, CT 06708-2517
Phone: (203) 753-2048
Fax: (203) 753-5891

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 001121 (CT)

Other Podiatrist providers in Connecticut →

Registry record

NPI: 1386164077
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2017
Record last updated: 7 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.