MICHAEL J KELLER

JEROME, ID
NPI1275229833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  MRO-2241)
Enumeration Date2023-04-14
Last Update Date2023-04-14
Business Address
MICHAEL J KELLER DO
132 5TH AVE W STE 1
JEROME, ID 83338-1825
Phone number: 208-814-9800
Mailing Address
MICHAEL J KELLER DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500