Individual
JONATHAN MATTHEW KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60489491
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD60489491
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD60489491
WA
Other
Enumeration date
03/19/2012
Last updated
10/20/2021
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