David Peter Keller, RN

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

54045 Issued in KS

Practice address

11511 Parkhill St
Overland Park, KS 66210-1315

Phone

(412) 759-9175

NPI assigned

Dec 23, 2020

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1639766710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CVS ONE CVS DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 PARKHILL ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101315",
            "telephone_number": "412-759-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "DAVID",
        "middle_name": "PETER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "KS",
            "license": "54045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Keenan, NP
• Beau Kehoe, DO
• Jeff A Keimach, PHARM.D.
• Keith Kobes, LLC
• Kekovole Consulting Group
• Lida Rose Keller, RN, BSN
• Steven G Keller, DPT
• Betsy Kellerman, ATC, LAT
• Anne Kelley
• Chelsie Kelley

• Wound Care Registered Nurse in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Wound Care Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.