Keller, Radie

Keller, Radie is an sole proprietor health care provider with primary practice located at 811 Grove St , Baldwin City KS 66006-9204. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Keller, Radie can be contacted via phone (785) 594-2902.

Contact Information

Primary practice address
811 Grove St Baldwin City KS 66006-9204
Phone: (785) 594-2902
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 17-04219 Kansas

Profile Details

NPI number 1376157347
LBN Legal business name Keller, Radie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2020
Last updated Sep 7th, 2023 - about 2 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 1376157347 NPPES
Kansas Other K03-07-8772 DRIVER LICENSE

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