Katelyn Taylor Keltner, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2020028651 Issued in MO

Practice address

1950 Diamond Pkwy
North Kansas City, MO 64116-4328

Phone

(816) 561-3003

Fax

(816) 889-1584

NPI assigned

Mar 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

• Orthopedic Health of Kansas City P.C.

  • Orthopaedic Surgery Physician
  • North Kansas City, MO
  • NPI 1336188242

  KS

  Medicare reassignment

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1780211334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N FOXRIDGE DR APT 205",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640837833",
            "telephone_number": "816-813-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 DIAMOND PKWY",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641164328",
            "telephone_number": "816-561-3003",
            "fax_number": "816-889-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELTNER",
        "first_name": "KATELYN",
        "middle_name": "TAYLOR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2020028651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin M. Kaufman, LCSW
• Katrina Kavanaugh, PT, DPT
• Summer Dawn Keller
• Breann Michelle Kelley, MD
• John M Kelsh, MD
• Heidi Rebekah Kemmer, D.O.
• Christina M. Kerns, FNP
• Rohit Kesarwani, M.D.
• James Kesl, D.O.
• Khurram Khan, M.D.

• Physician Assistant in North Kansas City, MO
• Providers in North Kansas City, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.