Kevin Keller

Speech-Language Pathologist · Rexburg, ID

Individual Active NPI

NPI number 1811725377

Practice location

859 S Yellowstone Hwy
Rexburg, ID 83440-5293
Phone
(208) 313-0091

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NPI record

NPI
1811725377
Entity type
Individual (Type 1)
Enumeration date
July 24, 2024
Last updated
July 24, 2024
Certified
July 24, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 8961468 ID

Mailing address

335 Gustafson Dr
Idaho Falls, ID 83402-4637
Phone
(208) 313-0091

About Kevin Keller

Kevin Keller is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 859 S Yellowstone Hwy, Rexburg, ID 83440-5293. The NPI number 1811725377 was assigned on July 24, 2024 and the record was last updated on July 24, 2024.

Kevin Keller lists a license in the registry: #8961468 (ID) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Keller?

The NPI number is 1811725377.

What is the phone number of Kevin Keller?

The phone number listed for the practice location is (208) 313-0091.

Where is Kevin Keller located?

859 S Yellowstone Hwy, Rexburg, ID 83440-5293.

What is the taxonomy code for Kevin Keller?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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