KARL THOMAS KELLER (NPI# 1962515999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962515999 |
| Entity Type | Individual |
| Full Name | KARL THOMAS KELLER |
| Credential | DC |
| Practice Address |
4060 N Main St Racine WI 53402-3121 |
| Practice Telephone | 2626392210 |
| Practice Fax Number | 2626394495 |
| Mailing Telephone | 2626392210 |
| Mailing Fax Number | 2626394495 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1669012 | WI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972862787 | Karl A Keller | Dentist | 312 W. Division, Manteno, IL 60950 | 2012-05-14 |
| Street Address |
4060 N MAIN ST |
| City | RACINE |
| State | WI |
| Zip Code | 53402-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967470 | Ronald L Allen | Ophthalmology | 4060 N Main St, Racine, WI 53402-3121 | 2005-07-21 |
| 1740443704 | Eye Care Surgical Consulting Sc | Ophthalmology | 4060 N Main St, Racine, WI 53402-3121 | 2008-07-09 |
| 1114189750 | Warren Eye Care | Optometrist | 4060 N Main St, Racine, WI 53402-3121 | 2008-06-25 |
| 1023211026 | Leonardo Huck | Dentist | 4060 N Main St, Suite 102, Racine, WI 53402-3121 | 2007-06-07 |
| 1699984500 | Jill Jelinek | Acupuncturist | 4060 N Main St, Suite 106, Racine, WI 53402-3121 | 2007-05-21 |
| 1659580462 | Stephanie Lynn Smith-whybark | Acupuncturist | 4060 N Main St, Suite106, Racine, WI 53402-3121 | 2007-05-21 |
| 1417070665 | Robin D Knodel | Dentist | 4060 N Main St, Suite 102, Racine, WI 53402-3121 | 2007-04-10 |
| 1821113697 | John Warren, Od Sc | Optometrist | 4060 N Main St, Racine, WI 53402-3121 | 2007-03-20 |
| 1578606810 | Eye Care Surgical Consulting, S.c. | Ophthalmology | 4060 N Main St, Racine, WI 53402-3121 | 2007-02-15 |
| 1881752202 | K Thomas Keller Dc Sc | Chiropractor | 4060 N Main St, Racine, WI 53402-3121 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1639286958 | Mary E Pagano | Internal Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-23 |
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| Find all providers in zip 53402 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598236143 | Jennifer Sykes | Chiropractor | 3701 Durand Ave Ste 415, Racine, WI 53405-4458 | 2018-12-07 |
| 1245569573 | Nicholas Reinhart Pope | Chiropractor | 414 6th St, Racine, WI 53403-1218 | 2009-12-16 |
| 1356501613 | Lauren D. Naatz | Chiropractor | 5439 Durand Ave., Ste. 200, Racine, WI 53406-5058 | 2008-06-11 |
| 1891909503 | Baertlein Chiropractic LLC | Chiropractor | 5027 Green Bay Road, Suite 118, Racine, WI 53144-1771 | 2007-05-10 |
| 1215151808 | Wilson N Mburu | Chiropractor | 3843 Douglas Ave, Racine, WI 53402-3228 | 2007-04-13 |
| 1326262916 | Racine Chiropractic Ltd | Chiropractor | 3845 Douglas Ave, Racine, WI 53402-3228 | 2007-04-13 |
| 1063546851 | Andrew I Solomon Dc Sc | Chiropractor | 4401 Taylor Avenue, Racine, WI 53405-4679 | 2007-03-15 |
| 1083740328 | Ralph William Porcaro | Chiropractor | 3423 Washington Avenue, Racine, WI 53405-2908 | 2007-02-23 |
| 1568503027 | Chiropractic Care Centers, S.c. | Chiropractor | 6218 Washington Ave Ste A, Racine, WI 53406-3916 | 2007-02-09 |
| 1114071917 | Ib Thostrup | Chiropractor | 2827 Rapids Dr, Racine, WI 53404-1620 | 2007-01-22 |
| Find all providers in RACINE | ||||
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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.