Individual
MRS. SHELBY R KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 EASTWEST PKWY, SUITE 16, FLEMING ISLAND, FL 32003-6336
(904) 215-3958
(904) 215-3970
Mailing address
1835 EASTWEST PKWY, SUITE 16, FLEMING ISLAND, FL 32003-6336
(904) 215-3958
(904) 215-3970
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PTA21475
FL
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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