KEVIN R. KELLER (NPI# 1790720795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790720795 |
| Entity Type | Individual |
| Full Name | KEVIN R. KELLER |
| Credential | MD |
| Practice Address |
3344 N Futrall Dr Fayetteville AR 72703-4057 |
| Mailing Address |
Po Box 1523 Fayetteville AR 72702-1523 |
| Practice Telephone | 4795218200 |
| Practice Fax Number | 4795827310 |
| Mailing Telephone | 4795218200 |
| Mailing Fax Number | 4795827310 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | C-8356 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100039260B | 05 | |
| AR | 123411001 | 05 | |
| AR | AR BC/BS | 5J075 | 01 |
| AR | RR MCR | P00331539 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982657615 | Kevin Achille Keller | Family Medicine | 5001 W Village Green Drive, Suite 209, Midlothian, VA 23112 | 2006-05-17 |
| 1912528423 | Kevin Keller II | Pharmacist | 1221 Georgesville Rd, Columbus, OH 43228-3327 | 2020-05-06 |
| 1033670955 | Kevin Keller | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Precepting Room, Boston, MA 02128 | 2019-03-26 |
| 1467569574 | Kevin Metz Keller | Plastic Surgery | 301 The Parkway, Greer, SC 29650 | 2006-08-24 |
| 1083645824 | Kevin E Keller | Anesthesiology | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2006-07-06 |
| Street Address |
3344 N FUTRALL DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308320 | Theodore N. Hronas | Radiology | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2005-10-03 |
| 1376150649 | Melissa Jones | Physical Therapy Assistant | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2020-09-30 |
| 1265999007 | Jamie S Young | Nurse Practitioner | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2019-02-28 |
| 1700343209 | Shelby L. Cochran | Nurse Practitioner | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2019-02-21 |
| 1164956199 | Lindsey R Sabatini | Clinical Nurse Specialist | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2017-04-17 |
| 1275089658 | Emily Jane Edwards | Physical Therapy Assistant | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2016-08-26 |
| 1720478860 | Colby Beth Parks | Physical Therapy Assistant | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2015-01-28 |
| 1326445578 | Katherine L Spears | Registered Nurse | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2014-12-03 |
| 1104226075 | Natalie C Rowe | Physical Therapist | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2014-08-28 |
| 1609206325 | Medical Associates of Northwest Arkansas Pa | Physical Therapist | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2013-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710218995 | Medical Associates of Northwest Arkansas | Allergy & Immunology | 3383 N Mana Ct, Suite 201, Fayetteville, AR 72703-4960 | 2010-01-27 |
| 1740408731 | Stella M Castro | Allergy & Immunology | 4402 Medical Center Dr, Suite 402, Fayetteville, NY 13066-6626 | 2007-04-23 |
| 1912944828 | Howard J Silk | Allergy & Immunology | 1240 Highway 54 W, Building 300 Suite 310, Fayetteville, GA 30214-4557 | 2006-05-31 |
| 1992795397 | Sarah Kim | Allergy & Immunology | 1317 Medical Dr, Fayetteville, NC 28304-4425 | 2005-10-26 |
| 1659405231 | Colin Freccia | Allergy & Immunology | 1317 Medical Dr, Fayetteville, NC 28304-4418 | 2007-03-15 |
| 1053320515 | Howard G Oaks | Allergy & Immunology | 1317 Medical Dr, Fayetteville, NC 28304-4418 | 2006-08-05 |
| 1124077078 | Laura Jane Koehn | Allergy & Immunology | 2100 N Green Acres Rd, Suite A, Fayetteville, AR 72703-2807 | 2006-05-09 |
| 1417906371 | Martha Ann Hutson-fincher | Allergy & Immunology | 2100 N Green Acres Rd, Suite A, Fayetteville, AR 72703-2807 | 2006-05-09 |
| 1407805468 | Allergy Care Center | Allergy & Immunology | 2100 N Green Acres Rd, Suite A, Fayetteville, AR 72703-2807 | 2006-05-08 |
| 1306821749 | Ana Luiza Macdowell | Allergy & Immunology | 1317 Medical Dr, Fayetteville, NC 28304-4425 | 2005-12-08 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.