Individual
STEPHANIE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 MEDICAL CENTER BLVD., SUITE 305 POB 1, UPLAND, PA 19013
(610) 874-6448
Mailing address
30 MEDICAL CENTER BLVD., SUITE 305 POB 1, UPLAND, PA 19013
(610) 874-6448
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT192419
PA
Other
Enumeration date
06/25/2008
Last updated
06/14/2012
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