Individual
JORDAN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 E 450 S, CLEARFIELD, UT 84015-1736
(801) 776-3305
Mailing address
299 N 200 W, BOUNTIFUL, UT 84010-7043
(801) 815-3443
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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