Keller, Chad J

Keller, Chad J is an individual health care provider with primary practice located at 5500 E Kellogg Dr , Wichita KS 67218-1607. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Nursing Service Providers / Ambulatory Care. Nursing Service Providers / Ambulatory Care is his primary health care specialty. Keller, Chad J can be contacted via phone (316) 685-2221.

Contact Information

Primary practice address
5500 E Kellogg Dr Wichita KS 67218-1607
Phone: (316) 685-2221
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 24-00315 Kansas
Nursing Service Providers / Ambulatory Care 163WP2201X 13-116483-012 Kansas

Profile Details

NPI number 1720052640
LBN Legal business name Keller, Chad J
Credentials MSED, BSN, RN, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jan 3rd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720052640 NPPES
Kansas Other 24-00315 KANSAS STATE BOARD OF HEALING ARTS (ATHLETIC TRAINER) AT
Kansas Other 13-116483-012 KANSAS STATE BOARD OF HEALING ARTS (ATHLETIC TRAINER) AT

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