THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
18/01/25 17:18:28 PM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 2007
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: Four Counties Medical Clinic
253A Main St PO Box 3023
Glencoe, ON
N0L 1M0
Glencoe Ontario N0L 1M0
Business Email: No Information Available
Phone: (519) 287-2616
Fax: (519) 287-5395
Address: Strathroy Middlesex General Hospita
Dept. of Anesthesia
395 Carrie St
Strathroy ON
Strathroy Ontario N7G 3C9
Phone: (519) 245-1550
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 25 Jun 2009
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 25 2009
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Four Counties Health Services Newbury
Strathroy Middlesex General Hospital Strathroy
HOSPITAL: Four Counties Health Services
LOCATION: Newbury
HOSPITAL: Strathroy Middlesex General Hospital
LOCATION: Strathroy

Professional Corporation Information

Corporation Name: J.H. Keller Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 04 Oct 2013
Shareholders:
Dr. J. Keller (CPSO#: 86499 )
Business Address: Strathroy Middlesex General Hospital
Department of Anesthesia
395 Carrie Street
Strathroy Ontario N7G 3C9 (519) 245-1550
Business Address: A - 253 Main street
Glencoe Ontario N0L 1M0 (519) 287-2616

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Schulich School of Medicine and Dentistry, Western University, 2007

Practice Information

Primary Business Location: Four Counties Medical Clinic
253A Main St PO Box 3023
Glencoe, ON
N0L 1M0
Glencoe Ontario N0L 1M0
Business Email: No Information Available
Phone: (519) 287-2616
Fax: (519) 287-5395
Address: Strathroy Middlesex General Hospita
Dept. of Anesthesia
395 Carrie St
Strathroy ON
Strathroy Ontario N7G 3C9
Phone: (519) 245-1550
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 25 Jun 2009
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 25 2009
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Four Counties Health Services Newbury
Strathroy Middlesex General Hospital Strathroy
HOSPITAL: Four Counties Health Services
LOCATION: Newbury
HOSPITAL: Strathroy Middlesex General Hospital
LOCATION: Strathroy

Professional Corporation Information

Corporation Name: J.H. Keller Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 04 Oct 2013
Shareholders:
Dr. J. Keller (CPSO#: 86499 )
Business Address: Strathroy Middlesex General Hospital
Department of Anesthesia
395 Carrie Street
Strathroy Ontario N7G 3C9 (519) 245-1550
Business Address: A - 253 Main street
Glencoe Ontario N0L 1M0 (519) 287-2616

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. JEREMY HARRIS KELLER may practise only in the areas of medicine in which Dr. KELLER is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. JEREMY HARRIS KELLER may practise only in the areas of medicine in which Dr. KELLER is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Schulich School of Medicine and Dentistry, Western University, 2007

Registration History

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