Individual
DR. PATRICK L KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7000 EAST AVE, LIVERMORE, CA 94550-9698
(925) 424-2544
(925) 423-7967
Mailing address
7000 EAST AVE, LIVERMORE, CA 94550-9698
(925) 424-2544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2006-1152
NC
2083P0901X
Public Health & General Preventive Medicine Physician
2006-01152
NC
2083X0100X
Occupational Medicine Physician
Primary
C160186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006-01152
LICENSE
NC
01
—
C160186
LICENSE
CA
Enumeration date
04/18/2006
Last updated
03/26/2024
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