Individual
AVI KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9220 SPRINGHILL LN, GREENBELT, MD 20770-1203
(240) 642-2278
(240) 642-2279
Mailing address
8630 FENTON ST, STE #1204, SILVER SPRING, MD 20910-3806
(301) 340-7525
(301) 495-0318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R204089
MD
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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