Dr. Charles Keller III
Pediatric Hematology-Oncologist
2198 S Yvonne Rd #344
Salt Lake City
, Utah 84121
Dr. Charles Keller III
Pediatric Hematology-Oncologist
2198 S Yvonne Rd #344
Salt Lake City
, Utah 84121
(801) 232-8038
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Charles Keller III
- 4919 Sw Seymour Ct
- Portland, OR
- Zip : 97221-3040
- Phone : (801) 232-8038
Second Address
- Dr. Charles Keller III
- 2198 S Yvonne Rd #344
- Salt Lake City, UT
- Zip : 84121
- Phone : (801) 232-8038
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 360961-1205 | UT |
National Provider Identifier
| NPI | 1053883181 |
|---|---|
| Provider Name | Dr. Charles Keller III |
| First Address | Portland, OR 97221-3040 |
| Second Address | Salt Lake City, UT 84121 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/12/2018 |
| Last Update Date | 31/12/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.