Keller Plastic Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0429112 Issued in KS

Legal business name

KELLER PLASTIC SURGERY LLC

Practice address

1130 W 4TH St
Suite 3200
Lawrence, KS 66044-1328

Phone

(785) 505-5875

Fax

(785) 505-3322

NPI assigned

Mar 6, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Miller, CPC

Title

Credentialing Specialist

Phone

(785) 505-2988

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1467878181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 W 4TH ST",
            "address_2": "SUITE 3200",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441328",
            "telephone_number": "785-505-5875",
            "fax_number": "785-505-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W 4TH ST",
            "address_2": "SUITE 3200",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441328",
            "telephone_number": "785-505-5875",
            "fax_number": "785-505-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "785-505-2988",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "0429112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah M Keary, LMSW
• Linda Lorene Keeler, M.D.
• Keep Living at Home, LLC
• Jason Mark Keezer, LMSW, LAC
• Brent Keffer, CPHT.
• John W Keller, MD
• Allen K Kelley, D.D.S.
• Kelley, Heck P.a.
• Marshall Kelley, M.D.
• Ashley Kelsey, DPT

• Plastic Surgery Physician in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Plastic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.