Individual
DEAN KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DAOM
Contact information
Practice address
512 11TH AVE STE B, LONGMONT, CO 80501-4324
(303) 601-0576
Mailing address
512 11TH AVE STE B, LONGMONT, CO 80501-4324
(303) 601-0576
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1094
CO
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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