Individual
JOSEPH WADE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(216) 408-6532
Mailing address
3450 11TH CT FL 3, VERO BEACH, FL 32960-5012
(216) 408-6532
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.003164
OH
Other
Enumeration date
10/26/2010
Last updated
12/26/2024
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