MR. CHAD J KELLER


Address: 5500 E Kellogg Dr, Wichita, KS 67218-1607
Phone: 3166852221

MR. CHAD J KELLER (NPI# 1720052640) 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) 1720052640
Entity Type Individual
Full Name MR. CHAD J KELLER
Credential MSED, BSN, RN, ATC
Practice Address 5500 E Kellogg Dr
Wichita
KS 67218-1607
Mailing Address 2232 S Michelle St
Wichita
KS 67207-6690
Practice Telephone 3166852221
Mailing Telephone 9138508388
Enumeration Date 2006-02-15
Last Update Date 2015-01-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP2201X Registered Nurse
Specialization: Ambulatory Care
13-116483-012 KS Nursing Service Providers
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
24-00315 KS Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS KANSAS STATE BOARD OF NURSING (REGISTERED NURSE) 13-116483-012 01
KS KANSAS STATE BOARD OF HEALING ARTS (ATHLETIC TRAINER) AT 24-00315 01

Other Providers CHAD KELLER

NPI Name Taxonomy Address Enumeration
1952600983 Chad John Keller Psychologist 7700 Clayton Rd Ste 103, Saint Louis, MO 63117-1345 2011-03-16
1003100082 Chad Robert Keller Otolaryngology 2131 E State St, Athens, OH 45701-2138 2011-06-07
1760613467 Chad G Keller Physical Therapist 1205 York Rd, Suite 19, Lutherville, MD 21093-6210 2009-07-30
1487875209 Chad Michael Keller Physician Assistant 2650 Ridge Ave., Burch 100, Cardiac Surgery Division, Evanston, IL 60201 2007-05-01

Office Location

Street Address 5500 E KELLOGG DR
City WICHITA
State KS
Zip Code 67218-1607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194729673 Catherine A Toomey Physician Assistant 5500 E Kellogg Dr, Wichita, KS 67218-1607 2005-06-13
1225642051 Mark Clark Pharmacist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-08-31
1598377483 Rachel Elaine Donis Occupational Therapist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-08-20
1164030060 Jacob Michael Goeser Optometrist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-07-16
1992329262 Aimee Boriboun Pharmacist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-06-02
1760012900 Lisa Christy Nurse Practitioner 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-01-15
1790324499 Linda Walim Nola Pharmacist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2019-12-27
1164078010 Daniel Steven Haley Social Worker 5500 E Kellogg Dr, Wichita, KS 67218-1607 2019-08-16
1790331783 Jason Alan Jester Social Worker 5500 E Kellogg Dr, Wichita, KS 67218-1607 2019-08-15
1629624770 Emily Suzanne Stuart Social Worker 5500 E Kellogg Dr, Wichita, KS 67218-1607 2019-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114544392 Diana Ho Optometrist 980 Oliver Street, Wichita, KS 67218 2020-07-03
1134773690 Lily Lopez Nurse's Aide 5107 E Kellogg Drive, Wichita, KS 67218 2019-08-01
1750862512 Kelsi Wenger Student in an Organized Health Care Education/Training Program 5500 E Kellog Dr, Wichita, KS 67218 2018-08-28
1770038937 Hair Replacement Clinic Specialist 1815 S Windsor, Wichita, KS 67218 2016-08-17
1457757346 South Wind Women's Centter, LLC Clinic/Center 5701 E Kellogg Drive, Wichita, KS 67218 2014-11-05
1124460787 Teri Kitchen Social Worker 3414 Kinkaid, Wichita, KS 67218 2013-07-24
1053660142 Glenda Rodgers-lawless, Ph.d., Lcpc, Pa Community/Behavioral Health 4601 E Douglas, Wichita, KS 67218 2012-09-05
1649541848 Stephen Rhinehart Registered Nurse 5500 E Kellogg Dr., Wichita, KS 67218 2012-01-19
1457666927 Recovery Services Council Inc. Point of Service 1611 South Rutan, Wichita, KS 67218 2010-08-09
1043535867 Melissa A Weinley Respiratory Therapist, Registered 5500 East Kellog Dr, Wichita, KS 67218 2010-04-05
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Taxonomy Information

Taxonomy Code 163WP2201X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Ambulatory Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609407477 Violet A Gomes Registered Nurse 500 Eisenhower Rd Ste 101, Leavenworth, KS 66048-5161 2020-01-30
1073842043 Geraldine Marie Miller Registered Nurse 1340 Kiowa St, Leavenworth, KS 66048-1249 2009-12-21
1265575203 David Emroy Cornelius Registered Nurse 2415 Massachesetts, Lawrence, KS 66046 2007-02-15
1578546339 Suzanne Mary Ryan Registered Nurse 6115 Nieman Rd, Shawnee, KS 66203-2939 2005-11-26
1295370815 Magen Ann Gunsolley Registered Nurse 3901 Rainbow Blvd, Kansas City, KS 66160-5986 2019-11-07
1710548854 Mary Margaret Brauer Registered Nurse 22700 W 55th Ter, Shawnee, KS 66226-5602 2019-06-27
1609278118 Denise Dennell Hinton Registered Nurse 550 Pope Ave, Fort Leavenworth, KS 66027-2332 2014-09-16
1619265089 Curtis Lester High Registered Nurse 550 Pope Ave, Fort Leavenworth, KS 66027-2332 2011-07-19
1548564115 Lisa L Anderson-pauly Registered Nurse 550 Pope Ave, Fort Leavenworth, KS 66027-2332 2010-12-22
1093044919 Barbara Janeen Stearns Registered Nurse 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Mr. Kennedy), Fort Leavenworth, KS 66027-2332 2009-12-24
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Competitor

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City WICHITA
Zip Code 67218

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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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