Provider Demographics
NPI:1750417812
Name:KELLER, ANASTASIA CHRISTIE (MD)
Entity type:Individual
Prefix:DR
First Name:ANASTASIA
Middle Name:CHRISTIE
Last Name:KELLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:STACEY
Other - Middle Name:C
Other - Last Name:KELLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:334 GRAPE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-5761
Mailing Address - Country:US
Mailing Address - Phone:303-229-3529
Mailing Address - Fax:419-273-0506
Practice Address - Street 1:950 S CHERRY ST STE 720
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-2665
Practice Address - Country:US
Practice Address - Phone:303-229-3529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO317812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry