Individual
JAMES RILEY KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1800 RENAISSANCE BLVD, EDMOND, OK 73013-3023
(405) 359-2422
Mailing address
PO BOX 7083, EDMOND, OK 73083-7083
(405) 359-2422
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
854
OK
Other
Enumeration date
08/05/2007
Last updated
09/16/2019
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