Individual
JOHN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1481
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1481
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A164091
CA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
A164091
CA
Other
Enumeration date
03/22/2018
Last updated
02/14/2025
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