Carl F Keller III

Primary specialty

Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X

License

26249 Issued in AR

Practice address

303 W Center St
Fayetteville, AR 72701-5102

Phone

(479) 973-4801

NPI assigned

Dec 26, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1407664212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15775 OAK CHASE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727049721",
            "telephone_number": "479-841-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W CENTER ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015102",
            "telephone_number": "479-973-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "CARL",
        "middle_name": "F",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "AR",
            "license": "26249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Keith
• Mary Keith
• Kelamis Plastic Surgery, PLLC
• Maggie Kell, PT
• Amy J Keller
• Christie Lynn Keller, DNP
• Jon Scott Keller, PA-C
• Adam Kelley
• John-Scott B Kelley, MS, LAC
• Melanie Kelley, RN

• Intermediate Emergency Medical Technician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Intermediate Emergency Medical Technician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.