MR. CHAD J KELLER MSED BSN RN ATC NPI 1720052640

NPI Information

NPI: 1720052640
Provider Name: MR. CHAD J KELLER, MSED, BSN, RN, ATC
Classification: Registered Nurse - 163WP2201X
Entity Type: Individual

Specialization: Ambulatory Care

Address:
5500 E KELLOGG DR
WICHITA, KS
ZIP 67218
Phone: (316) 685-2221
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MR. Chad J Keller, MSED, BSN, RN, ATC is an ambulatory care registered nurse in Wichita, KS. MR. Chad J Keller, MSED, BSN, RN, ATC NPI is 1720052640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5500 E KELLOGG DR
WICHITA, KS
ZIP 67218-607
Phone: (316) 685-2221

The enumeration date for this NPI number is 2/15/2006 and was last updated on 1/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP2201X	Registered Nurse	Ambulatory Care	13-116483-012	KANSAS	Yes
2	2255A2300X	Specialist/Technologist	Athletic Trainer	24-00315	KANSAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	13-116483-012	OTHER	KANSAS	KANSAS STATE BOARD OF NURSING (REGISTERED NURSE)
2	24-00315	OTHER	KANSAS	KANSAS STATE BOARD OF HEALING ARTS (ATHLETIC TRAINER) AT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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