Individual
ALEXANDER GAVIN KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10050 E HARVARD AVE APT B416, DENVER, CO 80231-6634
(214) 650-8246
Mailing address
10050 E HARVARD AVE APT B416, DENVER, CO 80231-6634
(214) 650-8246
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38580736873
—
CO
Enumeration date
07/28/2016
Last updated
07/28/2016
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