Organization · Type 2 NPI

Keller Skin & Cancer Care PC

Dermatology Physician · Eagle, ID

NPI number 1649543323 Active

Practice location

1605 E Riverside Drive
Eagle, ID 83616

Fax (208) 939-6442

Mailing address

1605 E Riverside Dr
Eagle, ID 83616-6237

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XO-0559 (ID)
Dermatology Physician Primary 207N00000XNone listed
MOHS-Micrographic Surgery Physician 207ND0101XNone listed
Procedural Dermatology Physician 207NS0135XNone listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1649543323

Keller Skin & Cancer Care PC's National Provider Identifier is 1649543323, issued on Feb 11, 2012. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Eagle, ID. The record was last updated on Nov 3, 2022.