Individual
MRS. PATRICIA P KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.S.A.
Contact information
Practice address
6144 STELLA LIGHT DR, FLOWERY BRANCH, GA 30542-3451
(770) 940-0185
(949) 437-3333
Mailing address
PO BOX 510, FLOWERY BRANCH, GA 30542-0009
(770) 940-0185
(949) 437-3333
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
92821
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92821
NBSTSA CERTIFICATION CST/CSFA
GA
Enumeration date
01/09/2007
Last updated
02/28/2025
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