Healthcare Provider Details

I. General information

NPI: 1487046348
Provider Name (Legal Business Name): SARA KATHRYN KELLER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 W 10TH AVE
COLUMBUS OH
43210-1240
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-7499
  • Fax: 614-366-2360
Mailing address:
  • Phone: 614-293-3693
  • Fax: 614-688-9420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number34.012549
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: