Individual
MEREDITH KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO2024-0039
NM
207RR0500X
Rheumatology Physician
Primary
DO2024-0039
NM
Other
Enumeration date
03/27/2019
Last updated
02/19/2025
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