Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHRISTOPHER RYAN KELLER, MD
Active Sole ProprietorNephrology · CALDWELL, ID
Registration Details
- NPI Number
- 1255467312
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 25, 2007 (19.218489622643 yrs)
- Last Updated
- May 16, 2018
- License
-
M10236 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4620 ENTERPRISE WAY STE 101CALDWELL, ID, 83605Browse ID providers · Browse ZIP 83605
- Phone
- 2088468335
- Fax
- 2088468336
- Primary Specialty
-
Nephrology
207RN0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.