KELLY RENE KELLER


Address: 5107 Medical Dr, San Antonio, TX 78229-4801
Phone: 2106148612

KELLY RENE KELLER (NPI# 1093916744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093916744
Entity Type Individual
Full Name KELLY RENE KELLER
Credential PA
Practice Address 5107 Medical Dr
San Antonio
TX 78229-4801
Practice Telephone 2106148612
Practice Fax Number 2106155596
Mailing Telephone 2106148612
Mailing Fax Number 2106155596
Enumeration Date 2007-05-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA04395 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY KELLER

NPI Name Taxonomy Address Enumeration
1952307381 Kelly A Keller Nurse Practitioner 420 Whitehall Rd Apt B, Alameda, CA 94501-6135 2005-06-21
1487112918 Kelly Renee Keller Registered Nurse 411 S Court St, Marion, IL 62959-2711 2019-03-04
1588112643 Kelly Keller Counselor 6333 Odana Rd Ste 20, Madison, WI 53719-1130 2016-09-19
1568917532 Kelly C. Keller Nurse Practitioner 460 W 10th Ave, Columbus, OH 43210-1240 2016-08-19
1215275268 Kelly Keller Physical Therapist 29 N Academy St, Greenville, SC 29601-2629 2013-01-26
1104172733 Kelly Keller Counselor 4436 Nw 50th St, Oklahoma City, OK 73112-2212 2012-08-01
1336106699 Kelly M Keller Occupational Therapist 1131 Baltimore Pike, Bel Air, MD 21014-5132 2006-04-28

Office Location

Street Address 5107 MEDICAL DR
City SAN ANTONIO
State TX
Zip Code 78229-4801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073519260 Lisa H Tomlin Nurse Practitioner 5107 Medical Dr, San Antonio, TX 78229-4801 2005-06-22
1265071260 Marissa Sanchez Leal Internal Medicine 5107 Medical Dr, San Antonio, TX 78229-4801 2019-12-23
1033775572 Kalicia Christie Nurse Practitioner 5107 Medical Dr, San Antonio, TX 78229-4801 2019-05-09
1942773841 Sheena Lavette Kicklighter Nurse Practitioner 5107 Medical Dr, San Antonio, TX 78229-4801 2019-01-03
1831670926 Diabetes and Glandular Disease Clinic Pharmacy Pharmacy 5107 Medical Dr, San Antonio, TX 78229-4801 2018-08-27
1659861193 Linda De Leon Nurse Practitioner 5107 Medical Dr, San Antonio, TX 78229-4801 2018-05-10
1609364447 Stephen A. Cavazos Nurse Practitioner 5107 Medical Dr, San Antonio, TX 78229-4801 2018-04-26
1184124604 Maricruz Arzeta-francisco Nurse Practitioner 5107 Medical Dr, San Antonio, TX 78229-4801 2018-02-21
1750898383 Laura Dale Thompson Nurse Practitioner 5107 Medical Dr, San Antonio, TX 78229-4801 2018-01-04
1902355977 Diana Vargas Huckaby Nurse Practitioner 5107 Medical Dr, San Antonio, TX 78229-4801 2016-09-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245857226 Lyndsey A Sandoval Optometrist 7400 Minton Miner St, San Antonio, TX 78229 2020-06-25
1295355311 Nicolet Finger Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 2020-04-18
1215557400 Amy Elizabeth Werry Clinical Neuropsychologist 7703 Floyd Circle Drive, San Antonio, TX 78229 2020-04-17
1740822972 Mohammad Safaie Yazdi Student in an Organized Health Care Education/Training Program Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 2019-10-09
1063053072 Blas Edward Villa Nurse Practitioner 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 2019-10-01
1124673942 Integrity Dme Services LLC Durable Medical Equipment & Medical Supplies 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 2019-08-08
1730734120 Marisa Erin Leyden Speech-Language Pathologist Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 2019-08-03
1285295741 Alireza Ghezavati Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 2019-06-25
1407410285 Denae Cheyenne Rushing Student in an Organized Health Care Education/Training Program 8201 Floyd Curl Drive, San Antonio, TX 78229 2019-04-26
1265993570 Shehzad Amlani Student in an Organized Health Care Education/Training Program Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 2019-03-28
Find all providers in zip 78229

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447866298 Diana P Olivares Physician Assistant 8920 Quihi Way, San Antonio, TX 78254-1901 2020-09-17
1740893445 Mcrm Assist, Pllc Physician Assistant 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 2020-08-24
1508476086 Matthew Gaines Physician Assistant 2626 Bluff Xing, San Antonio, TX 78244-1000 2020-08-09
1235757519 Joseph Dominic Wechsler Jr. Physician Assistant 9114 Autumn Skies, San Antonio, TX 78254-1929 2020-07-13
1396368015 Maureen Genov Physician Assistant 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 2020-05-28
1386266062 Sun Assist, Pllc Physician Assistant 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 2020-05-15
1134758964 Mark Lee Nentwig Physician Assistant 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 2020-04-03
1962034694 Christina L Russell Physician Assistant 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 2020-02-11
1265071203 Caralyne Sandquist Physician Assistant 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 2019-12-21
1447808498 Elizabeth Ann Blair Physician Assistant 24623 Birdie Rdg, San Antonio, TX 78260-7847 2019-09-03
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78229

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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