Individual
KATHERINE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
51 SEWALL ST STE 1, PORTLAND, ME 04102-2697
(207) 774-5761
(207) 874-7478
Mailing address
51 SEWALL ST STE 1, PORTLAND, ME 04102-2697
(207) 370-3105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DO3067
ME
207R00000X
Internal Medicine Physician
TP17026
ME
207RR0500X
Rheumatology Physician
04324
KY
Other
Enumeration date
03/02/2015
Last updated
01/20/2021
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