Individual
DR. ROBERT WARREN KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2535 S STATE ST, SALT LAKE CITY, UT 84115-3109
(801) 466-5611
(801) 466-5638
Mailing address
2535 S STATE ST, SALT LAKE CITY, UT 84115-3109
(801) 466-5611
(801) 466-5638
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
113629-9934
UT
Other
Enumeration date
03/27/2006
Last updated
07/21/2009
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