Search › California › 104100000X
Lyle Keller
NPI 1497817597 · on the registry since 2006
Practice
- Address
- 3333 Chanate Rd
Santa Rosa, CA 95404 - Phone
- (707) 565-4855
- Organisation at this address
- Department Of Health Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 86
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California