KENNETH J KELLER (NPI# 1114075207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114075207 |
| Entity Type | Individual |
| Full Name | KENNETH J KELLER |
| Credential | PHD |
| Practice Address |
5151 E Broadway Blvd # 720 Tucson AZ 85711-3705 |
| Practice Telephone | 5207907583 |
| Practice Fax Number | 5207905175 |
| Mailing Telephone | 5207907583 |
| Mailing Fax Number | 5207905175 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3461 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891781886 | Kenneth J Keller | Radiology | 3501 N Scottsdale Rd Ste 130, Scottsdale, AZ 85251-5649 | 2005-09-23 |
| 1588705537 | Kenneth Ronald Keller | Emergency Medicine | 2449 Ross Millville Rd, Hamilton, OH 45013-8951 | 2007-02-12 |
| 1104976802 | Kenneth Keller | Orthopaedic Surgery | 220 E Beaver Ave, Fort Morgan, CO 80701-3103 | 2007-01-12 |
| Street Address |
5151 E BROADWAY BLVD # 720 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023198892 | Maxim Healthcare Services,inc. | Home Health | 5151 E Broadway Blvd, Suite 750, Tucson, AZ 85711-3705 | 2006-10-16 |
| 1881216604 | Jenifer J Burrell | Occupational Therapist | 5151 E Broadway Blvd, Tucson, AZ 85711-3705 | 2020-05-14 |
| 1972973733 | Jennifer Krug | Psychologist | 5151 E Broadway Blvd, Ste 1600, Tucson, AZ 85711-3777 | 2015-10-05 |
| 1942614920 | Parkinson Wellness Clinic, LLC | Clinic/Center | 5151 E Broadway Blvd, Suite 1600, Tucson, AZ 85711-3705 | 2014-06-17 |
| 1679810998 | Deborah Thieme | Technician | 5151 E Broadway Blvd, Ste. 1250, Tucson, AZ 85711-3705 | 2013-01-07 |
| 1124332838 | Arundhuti Kundu | Psychiatry & Neurology | 5151 E Broadway Blvd, Tucson, AZ 85711-3705 | 2010-08-05 |
| 1851528483 | Jeffrey B Harvey | Counselor | 5151 E Broadway Blvd, Ste 1600, Tucson, AZ 85711-3705 | 2009-06-22 |
| 1336303015 | Mary Ann Finnegan | Registered Nurse | 5151 E Broadway Blvd, Tucson, AZ 85711-3705 | 2008-07-11 |
| 1588859581 | Cynthia S Reed | Psychiatry & Neurology | 5151 E Broadway Blvd, Suite 1600, Tucson, AZ 85711-3705 | 2007-09-12 |
| 1114141587 | Gary I Perrin | Psychologist | 5151 E Broadway Blvd, Suite 720, Tucson, AZ 85711-3705 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173447 | Antonia Marie Garcia | Psychologist | 6262 N Swan Rd Ste 160, Tucson, AZ 85718-3636 | 2020-10-29 |
| 1164031100 | Karina Fleming | Psychologist | 1173 S Coyote Summit Pl, Tucson, AZ 85745-0003 | 2020-07-27 |
| 1063043776 | John R. Corbett | Psychologist | 4421 E Havasu Rd, Tucson, AZ 85718-2519 | 2020-01-31 |
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1992262984 | Joel Gaffney | Psychologist | Campus Health Service 1224 E Lowell St Bldg 95, Tucson, AZ 85721-0095 | 2019-02-26 |
| 1326541905 | Anne Markey Bowen | Psychologist | 3956 W Bar Ranch Dr, Tucson, AZ 85745-9260 | 2018-03-09 |
| 1629595210 | Caroline Pyevich | Psychologist | 7743 E Cleary Way, Tucson, AZ 85715-3734 | 2017-08-24 |
| 1023460235 | Emily Tudor Strang | Psychologist | 2525 E Broadway Blvd, Tucson, AZ 85716-5398 | 2016-07-12 |
| 1730563115 | Joseph Benach | Psychologist | 4625 E Broadway Blvd Ste 108, Tucson, AZ 85711-3575 | 2015-07-15 |
| 1114306917 | Tucson Concussion Center LLC | Psychologist | 5199 E Farness Dr, Suite 101, Tucson, AZ 85712-2134 | 2015-05-26 |
| Find all providers in TUCSON | ||||
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| 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.