Kevin Keller

NPI 1811725377 · on the registry since 2024 · sole proprietor

Practice

Address: 859 S Yellowstone Hwy
Rexburg, ID 83440
Phone: (208) 313-0091
Organisation at this address: Night Boat Pllc
Core Connection
Hgns Investments
Idaho Counseling
Douglas R. Schultz
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 41

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho