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Individual

DR. MARK ALLEN KELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7205 265TH ST NW, STANWOOD, WA 98292-6221
(360) 629-1500
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD61049864
WA
208000000X
Pediatrics Physician
MT209962
PA

Other

Enumeration date
07/03/2015
Last updated
05/14/2026
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