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Individual

KEVIN E KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 244-2506
Mailing address
1120 WELLINGTON AVE STE 206, GRAND JUNCTION, CO 81501-6131
(970) 243-7245
(970) 241-1308

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45304
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
46070214
CO
Enumeration date
07/06/2006
Last updated
09/04/2007
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