Individual
DR. ALLISON ANNE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
295 CHIPETA WAY, SALT LAKE CITY, UT 84108-1220
(801) 587-7450
(801) 587-7455
Mailing address
PO BOX 581289, PEDIATRIC EMERGENCY MEDICINE, SALT LAKE CITY, UT 84158-1289
(801) 587-7450
(801) 587-7455
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
5324349-1205
UT
207R00000X
Internal Medicine Physician
5323439-1205
UT
Other
Enumeration date
04/22/2008
Last updated
12/20/2021
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