CHARLES KELLER, III MD – NPI #1053883181
Pediatrics

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

CHARLES KELLER, III is a physician located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1053883181 to CHARLES KELLER, III on December 31, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0207X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Hematology-Oncology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES KELLER, III below.

NPI Profile for
CHARLES KELLER, III

NPI Number
1053883181
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES KELLER, III
Credentials
MD
Primary location
2198 S YVONNE RD #344
SALT LAKE CITY, UT 84121
Phone: (801) 232-8038 Fax:
Mailing address
4919 SW SEYMOUR CT
PORTLAND, OR 97221-3040
Phone: (801) 232-8038 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0207X
- Pediatrics / Pediatric Hematology-Oncology (Primary)
UT 360961-1205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.