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Keller, Jeremy Harris

CPSO#: 86499

MEMBER STATUS
Active Member as of 01 Jul 2007
CURRENT OR PAST CPSO REGISTRATION CLASS
Independent Practice as of 28 Jun 2009

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: Schulich School of Medicine and Dentistr, 2007

Practice Information

Primary Location of Practice
Four Counties Medical Clinic
253A Main St PO Box 3023
Glencoe, ON
N0L 1M0
Glencoe ON  N0L 1M0
Phone: (519) 287-2616
Fax: (519) 287-5395 Electoral District: 02

Additional Practice Location(s)

Strathroy Middlesex General Hospita
Dept. of Anesthesia
395 Carrie St
Strathroy ON
Strathroy ON  N7G 3C9
Canada
Phone: (519) 245-1550
County: County of Middlesex
Electoral District: 02

Professional Corporation Information


Corporation Name: J.H. Keller Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Oct 04 2013

Shareholders:
Dr. J. Keller ( CPSO# 86499 )

Business Address:
A - 253 Main street
Glencoe ON  N0L 1M0
Phone Number: (519) 287-2616

Business Address:
Strathroy Middlesex General Hospital
Department of Anesthesia
395 Carrie Street
Strathroy ON  N7G 3C9
Phone Number: (519) 245-1550

Hospital Privileges

Hospital Location
Four Counties Health Services Newbury
Strathroy Middlesex General Hospital Strathroy

Specialties

Specialty Issued On Type
Family Medicine Effective:25 Jun 2009 CFPC Specialist

Terms and Conditions

(1) Dr. JEREMY HARRIS KELLER may practise only in the areas of medicine in which Dr. KELLER is educated and experienced.

Postgraduate Training

Please note: This information may not be a complete record of postgraduate training.



Schulich School of Medicine and Dentistr, 01 Jul 2007 to 30 Jun 2008
PostGrad Yr 1 - Family Medicine

Schulich School of Medicine and Dentistr, 01 Jul 2008 to 30 Jun 2009
PostGrad Yr 2 - Family Medicine

Schulich School of Medicine and Dentistr, 01 Jul 2009 to 30 Jun 2010
PostGrad Yr 3 - Family Medicine (Anaesthesia)

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2007
Transfer of class of registration to: Independent Practice Certificate Effective: 28 Jun 2009