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).
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 |
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 |
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 |
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 |
Street Address |
5500 E KELLOGG DR |
City | WICHITA |
State | KS |
Zip Code | 67218-1607 |
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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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 |
Find all providers in zip 67218 |
Taxonomy Code | 163WP2201X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Ambulatory Care |
Definition to come... |
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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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.