Individual
MR. AIDEN NATHANIEL KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
368 JUANA AVE, SAN LEANDRO, CA 94577-4811
(510) 357-4015
Mailing address
9880 NE GIBBS DR APT 427, BEAVERTON, OR 97006-7084
(907) 545-4794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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