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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARLA KAYE KELLER

Active

CARLA KAYE KELLER is a 2279P1006X healthcare provider located in NOVATO, California. NPI 1447722103 is currently active in the NPPES registry. Verify at CMS.

2279P1006X · NOVATO, CA

Registration Details

NPI Number
1447722103
Provider Type
Individual
Gender
Female
NPI Issued
Dec 19, 2018 (7.463045862159 yrs)
Last Updated
Dec 30, 2021
License
1510 (CA)

Practice Information

Address
97 SAN MARIN DR
NOVATO, CA, 949451100
Browse CA providers · Browse ZIP 94945
Phone
4158997672
Primary Specialty
2279P1006X
2279P1006X
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.