THOMAS M. KELLER, M.D. PROFESSIONAL CORPORATION
Psychiatric at Farmers Ln, Santa Rosa, CA

License number
California 0G272880
Category
Psychiatric
Type
Interventional Pain Medicine
Owner
Name: SARA KELLER
Title: ADMINISTRATOR
Phone: (707) 528-3374
Address
Address
1212 Farmers Ln SUITE 4, Santa Rosa, CA 95405
National Provider ID: 1760781231
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THOMAS M. KELLER, M.D. PROFESSIONAL CORPORATION

751 Church St, Santa Rosa, CA 95405

Industry:
Medical Doctor's Office
Registration:
Jan 1, 1990
State ID:
C1655602
Business type:
Articles of Incorporation
President:
Thomas M. Kella (President)
Agent:
Thomas M Kella,Santa Rosa, CA 95405 (Physical)

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