Colin Everett Keller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20884 Issued in TX

Practice address

701 E Marshall Ave Ste 200
Longview, TX 75601-5544

Phone

(903) 315-2000

NPI assigned

Oct 12, 2026

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1548165319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 SHERWOOD ST",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756472532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MARSHALL AVE STE 200",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015544",
            "telephone_number": "903-315-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "COLIN",
        "middle_name": "EVERETT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA20884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KC Medical Supplies
• KCN Novak LLC (Medical Park Pharmacy)
• Jerry Keaton, M.D.
• Samwel Kebaya
• Leslie A Keehne, D.C.
• Janet L. Kelley, MD
• Suzanne Kelley, LCDC
• Gene Kelly, MD
• Jerald Donald Kelly, DC
• Kathy Ann Kelly, LMFT

• Physician Assistant in Longview, TX
• Providers in Longview, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.