Jared Brent Keller, P.A.

NPI #1861822439 in Rupert, Idaho

Provider Information

NPI Number: 1861822439
Entity Type: Individual
Name: Jared Brent Keller, P.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Nov 19, 2013
Last Updated: Mar 17, 2021

Practice Location

Address: 402 6TH ST
City: Rupert
State: Idaho
ZIP Code: 83350-1619
Phone: (208) 650-7941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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