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Contact Information

DIANNE KELLER, MD
2502 N DODGE BLVD
SUITE 190
TUCSON, AZ85716-2671
 Phone: 520-490-4266
 Fax: 520-617-1608
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DIANNE KELLER · (Female)

NPI Number 1902996150
Status Active
Credentials MD
Entity Individual
Enumeration date 10/16/2006
Last updated 02/18/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 20611
  • AZ Medicaid 113324
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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