Individual
ELIZABETH GREER KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 SANTA MONICA BLVD STE 440E, SANTA MONICA, CA 90404-2154
(310) 453-1386
(310) 453-4786
Mailing address
9344 NATIONAL BLVD APT 8, LOS ANGELES, CA 90034-2925
(717) 679-1678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56999
CA
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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