Individual
KEVIN MATTHEW KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ STE 7501, LOS ANGELES, CA 90095-8358
(310) 267-9643
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
292208
MA
207R00000X
Internal Medicine Physician
A196543
CA
208M00000X
Hospitalist Physician
Primary
A196543
CA
Other
Enumeration date
03/26/2019
Last updated
07/02/2024
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