Individual
BRENT KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 580-5864
Mailing address
5350 JAZMIN CT, SAN DIEGO, CA 92124-1413
(858) 776-0207
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
26227
CA
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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