Individual
JULIE MARIE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4414 LAKE BOONE TRL, SUITE 402, RALEIGH, NC 27607-7513
(919) 784-5600
Mailing address
9240 BRUCKHAUS ST, APARTMENT 2-315, RALEIGH, NC 27617-4401
(919) 880-1751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03041
NC
Other
Enumeration date
08/05/2011
Last updated
04/17/2014
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