Individual
ERIC KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 8TH AVE N, SEATTLE, WA 98109-6304
(206) 957-9050
(206) 957-9052
Mailing address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA00020790
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO61669207
WA
Other
Enumeration date
07/09/2008
Last updated
07/31/2025
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