Linda Maye Keller

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

C17211 Issued in IN

Practice address

4646 W Jefferson Blvd
Suite 170
Fort Wayne, IN 46804-6842

Phone

(260) 436-6544

NPI assigned

Nov 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Llinda Maye Keller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1861673204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 W JEFFERSON BLVD",
            "address_2": "SUITE 170",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046842",
            "telephone_number": "260-436-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 W JEFFERSON BLVD",
            "address_2": "SUITE 170",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046842",
            "telephone_number": "260-436-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "LINDA",
        "middle_name": "MAYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "C17211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LLINDA",
            "last_name": "KELLER",
            "middle_name": "MAYE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristen G Keitzer, RN
• Douglas Freeman Kellenberger, MA, LMHC
• Alyssa Keller, OT
• Diana Maria Keller, PTA
• Lauren Keller
• Nicole Keller, MT-BC
• Shanna Ranae Keller
• Dawn Michelle Kelley, CMT
• Megan Anne Kelley, PHARMD
• Rebecca Leah Kelley

• Durable Medical Equipment & Medical Supplies in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.