Individual
RYAN PATRICK KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
300 W BALTIMORE AVE, MEDIA, PA 19063-3683
(558) 687-2410
Mailing address
300 W BALTIMORE AVE, MEDIA, PA 19063-3683
(855) 687-2410
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP025672
PA
Other
Enumeration date
05/02/2022
Last updated
10/24/2024
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