MR. KIM DUANE KELLER (NPI# 1639402167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639402167 |
| Entity Type | Individual |
| Full Name | MR. KIM DUANE KELLER |
| Credential | BC-HIS |
| Practice Address |
1549 Potomac Ave Hagerstown MD 21742-2930 |
| Practice Telephone | 3017972344 |
| Practice Fax Number | 2406259449 |
| Mailing Telephone | 3017972344 |
| Mailing Fax Number | 2406259449 |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2016-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1581 | MD | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902143324 | Kim Lynne Keller | Licensed Practical Nurse | 9610 168th Street Ct E, Puyallup, WA 98375-2256 | 2013-01-04 |
| 1124143268 | Kim Louise Keller | Physical Therapy Assistant | 1004 Littlestown Pike Ste A3, Westminster, MD 21157-3007 | 2007-03-20 |
| 1518978543 | Kim Benson Keller | Dentist | 607 2nd St S, Nampa, ID 83651-3837 | 2006-08-11 |
| 1205335072 | Kim Marie Keller | Registered Nurse | 444 Bruce St, Yreka, CA 96097-3450 | 2018-02-07 |
| 1396117099 | Kim Annette Keller | Pharmacist | 2771 4th St, Santa Rosa, CA 95405-4726 | 2015-10-21 |
| 1407954845 | Kim Dorian Keller | Surgery | 21216 Northwest Fwy, Suite 210, Cypress, TX 77429-1439 | 2006-09-20 |
| Street Address |
1549 POTOMAC AVE |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003026352 | K & K Hearing Associates, L.L.C. | Durable Medical Equipment & Medical Supplies | 1549 Potomac Ave, Hagerstown, MD 21742-2930 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932428224 | Tristate Neurology Center | Specialist | 1701 Howell Road, Hagerstown, MD 21740 | 2010-05-26 |
| 1093860553 | Antietam Neurology Center, Pa | Specialist | 11110 Medical Campus Rd Ste 227, Hagerstown, MD 21742-6727 | 2007-01-24 |
| 1639180169 | Robert Brull | Specialist | 1459 Potomac Ave, Hagerstown, MD 21742-3315 | 2006-08-10 |
| 1124038682 | Wun B Kang | Specialist | 17516 Virginia Ave, Hagerstown, MD 21740-7875 | 2006-08-08 |
| 1962434449 | Klein and Associates Md Pa | Specialist | 346 Mill Street, Hagerstown, MD 21740 | 2006-07-07 |
| 1326015116 | Timothy Daniel Thorne | Specialist | 1120b Professional Ct, Hagerstown, MD 21740-5852 | 2006-03-01 |
| 1205174430 | Milay Luis Lam | Specialist | 11110 Medical Campus Rd Ste 108, Hagerstown, MD 21742-6734 | 2013-01-23 |
| 1336484161 | Kaile Li | Specialist | 11110 Medical Campus Rd, Suite 129, Hagerstown, MD 21742-6700 | 2012-12-05 |
| 1083908750 | Ehab Shalaby Md, Pa | Specialist | 324 E Antietam St, Suite 306a, Hagerstown, MD 21740-5754 | 2011-05-31 |
| 1861626707 | Frederick Psychiatric Medicine | Specialist | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 | 2009-05-06 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
Please comment or provide details below to improve the information on MR. KIM DUANE KELLER.
| 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.