Individual
JON KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 321-4121
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 853-2123
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G88732
CA
Other
Enumeration date
10/05/2006
Last updated
05/28/2020
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