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Individual

DR. CHARLES KELLER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2198 S YVONNE RD #344, SALT LAKE CITY, UT 84121
(801) 232-8038
Mailing address
4919 SW SEYMOUR CT, PORTLAND, OR 97221-3040
(801) 232-8038

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
360961-1205
UT

Other

Enumeration date
12/31/2018
Last updated
12/31/2018
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