Individual
DAVID WOLF KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
220 E BEAVER AVE, FORT MORGAN, CO 80701-3103
(970) 542-1707
(970) 542-1708
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7782
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA.0001065
CO
Other
Enumeration date
01/12/2007
Last updated
08/15/2022
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