KIM LYNNE KELLER (NPI# 1902143324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902143324 |
| Entity Type | Individual |
| Full Name | KIM LYNNE KELLER |
| Credential | LPN |
| Practice Address |
9610 168th Street Ct E Puyallup WA 98375-2256 |
| Mailing Address |
302 2nd St Se Puyallup WA 98372-3220 |
| Practice Telephone | 2538408881 |
| Practice Fax Number | 2538408992 |
| Mailing Telephone | 2538408881 |
| Mailing Fax Number | 2538408992 |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP00037551 | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1639402167 | Kim Duane Keller | Specialist | 1549 Potomac Ave, Hagerstown, MD 21742-2930 | 2009-09-16 |
| 1407954845 | Kim Dorian Keller | Surgery | 21216 Northwest Fwy, Suite 210, Cypress, TX 77429-1439 | 2006-09-20 |
| Street Address |
9610 168TH STREET CT E |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98375-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
| 1326554601 | Jasmanpreet Kaur Sidhu | Nurse's Aide | 17003 83rd Ave Cte, Puyallup, WA 98375 | 2017-12-21 |
| 1295257137 | Rafael Martin Morones IIi | Registered Nurse | 17802 87th Ave E, Puyallup, WA 98375 | 2017-07-12 |
| 1467990556 | Tessa D Parker | Massage Therapist | 17528 Meridian E Suite 207, Puyallup, WA 98375 | 2017-02-08 |
| 1144674326 | June Park | Social Worker | 9414 185th Street Ct E, Puyallup, WA 98375 | 2016-04-14 |
| 1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
| 1861825663 | L&t Chinese Medicine LLC | Acupuncturist | 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 | 2013-08-15 |
| 1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
| 1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| Find all providers in zip 98375 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750803755 | Courtney Elise Dennis | Licensed Practical Nurse | 10507 156th St E Ste 112, Puyallup, WA 98374-9361 | 2017-07-11 |
| 1295106532 | Sarah Namigadde | Licensed Practical Nurse | 12925 159th St E, Puyallup, WA 98374-9117 | 2015-10-13 |
| 1134464084 | Theresa Deann O'leary | Licensed Practical Nurse | 1601 26th Ave Se, Puyallup, WA 98374-1349 | 2012-12-04 |
| 1871129437 | April Marie Baez | Licensed Practical Nurse | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-03-16 |
| 1568097574 | Heidi M Haggin | Licensed Practical Nurse | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-03-10 |
| 1821578295 | Lauren Yuckert | Licensed Practical Nurse | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2018-08-15 |
| 1154865855 | Lisa Marie Miller | Licensed Practical Nurse | 325 E Pioneer, Puyallup, WA 98372-3265 | 2016-12-14 |
| 1275082232 | Cynthia Carol Hernan | Licensed Practical Nurse | 15102 122nd Ave E, Puyallup, WA 98374-3419 | 2016-09-30 |
| 1225408958 | Maureen Nalder | Licensed Practical Nurse | 214 W Main, Puyallup, WA 98371-5328 | 2015-10-07 |
| 1265848618 | Leslie Gynetta Gillis | Licensed Practical Nurse | 325 E Pioneer, Puyallup, WA 98372-3265 | 2014-07-07 |
| Find all providers in PUYALLUP | ||||
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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.