Individual
MONTANA KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-1000
Mailing address
3841 GREEN HILLS VILLAGE DR, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
33613
OK
2085R0202X
Diagnostic Radiology Physician
Primary
65276
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/03/2017
Last updated
06/20/2023
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