Courtney A Keller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10000776A Issued in IN

Practice address

303 S Main St
Bluffton, IN 46714-2503

Phone

(260) 824-3210

NPI assigned

Jun 21, 2006

Last updated

Aug 9, 2018By the provider in NPPES

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1962448613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CAYLOR NICKEL SQ",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142529",
            "telephone_number": "260-824-3500",
            "fax_number": "260-919-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142503",
            "telephone_number": "260-824-3210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Caylor Nickel Sq",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "IN",
            "postal_code": "467142529",
            "country_code": "US",
            "telephone_number": "260-824-3500 x6414",
            "fax_number": "260-919-3419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "COURTNEY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000776A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry S Johnson, DC
• William Raymond Johnson, RPH
• Larry G Jones, M.D.
• Yadagiri R Jonna, M.D.
• Dawn E. Kazmierzak, O.D.
• Joseph Keller, DPT
• Esther Laurene Kerns, R.D.
• Amy M Kiel
• Kroger Limited Partnership I
• Laura Marie Kukelhan, DDS

• Physician Assistant in Bluffton, IN
• Providers in Bluffton, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.