Individual
RICKY KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15333 N PIMA RD STE 305, SCOTTSDALE, AZ 85260-2717
(573) 380-8637
(480) 690-9118
Mailing address
2736 E TERRACE AVE, GILBERT, AZ 85234-1425
(573) 380-8637
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
11/24/2025
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