Kelli Annette-Isaacs Keller, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

03873 Issued in KY

Practice address

410 Good Life PL
Mt Sterling, KY 40353-7700

Phone

(859) 359-2142

Fax

(859) 545-5016

NPI assigned

Jun 4, 2013

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

Other names 1

• Kelli Annette Isaacs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2020 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1972940633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 GOOD LIFE PL",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403537700",
            "telephone_number": "859-359-2142",
            "fax_number": "859-545-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 GOOD LIFE PL",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403537700",
            "telephone_number": "859-359-2142",
            "fax_number": "859-545-5016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1084 Highway 7 Ste 2",
            "address_purpose": "LOCATION",
            "city": "West Liberty",
            "state": "KY",
            "postal_code": "414727146",
            "country_code": "US",
            "telephone_number": "606-743-3198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "476 Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "West Liberty",
            "state": "KY",
            "postal_code": "414722049",
            "country_code": "US",
            "telephone_number": "606-743-3186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KELLI",
        "middle_name": "ANNETTE-ISAACS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "ISAACS",
            "middle_name": "ANNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Crawford Jones, DMD
• Kayla Jones, APRN, FNP-C
• Sooksai Kaewbua, DNP, APRN, PMHNP-BC
• Kelly Brandon Karrick, PHARM.D.
• Amanda Keeton, APRN, CNP
• Carol Kelley
• Brianna L Kendrick, D.O.
• Tonya Mealor Kendrick, DMD
• Kenney Orthopedics of Mount Sterling, LLC
• Kentucky CVS Pharmacy, L.L.C.

• Family Medicine Physician in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.