Kim Duane Keller, BC-HIS

Primary specialty

SpecialistTaxonomy code 174400000X

License

1581 Issued in MD

Practice address

1549 Potomac Ave
Hagerstown, MD 21742-2930

Phone

(301) 797-2344

Fax

(240) 625-9449

NPI assigned

Sep 16, 2009

Last updated

Nov 11, 2016By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• K & K Hearing Associates, L.L.C.

  • Customized Equipment (DME)
  • Hagerstown, MD
  • NPI 1003026352
  NPD (past) Authorized official

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1639402167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 POTOMAC AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422930",
            "telephone_number": "301-797-2344",
            "fax_number": "240-625-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 POTOMAC AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422930",
            "telephone_number": "301-797-2344",
            "fax_number": "240-625-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KIM",
        "middle_name": "DUANE",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eryn Keenan
• Pavara Keeney, CRNA
• Keep Exploring Yourself, LLC
• Hailey Kegarise
• Jennifer Keilholtz
• Noah Lamond Keller, D.O.
• Raiden Keller
• Jennifer Kelley, LCSW-C
• Denise M Kellogg, PTA
• Annick Sheron Kelly, DNP, PMHNP-BC

• Specialist in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.