Individual
DR. THOMAS MCNEESE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
1212 FARMERS LN, SUITE 4, SANTA ROSA, CA 95405-6747
(707) 528-3374
(707) 528-3201
Mailing address
1212 FARMERS LN, SUITE 4, SANTA ROSA, CA 95405-6747
(707) 528-3374
(707) 528-3201
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
G 27288
CA
208VP0000X
Pain Medicine Physician
G27288
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
G27288
CA
Other
Enumeration date
03/01/2006
Last updated
03/22/2011
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