IndividualActive
Charles Keller, MD
NPI 1053883181 · Pediatric Hematology & Oncology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1053883181
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 360961-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2198 S Yvonne Rd #344
Salt Lake City, UT 84121
Phone: (801) 232-8038
Approximate (ZIP-level) locationGet directions
Mailing address
4919 Sw Seymour Ct
Portland, OR 97221-3040
Registry dates
- Enumerated
- 2018-12-31
- Last updated
- 2018-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.