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KENNETH J KELLER PHD
NPI 1114075207
Psychologist - Clinical in Tucson, AZ

Active since January 08, 2007
5151 E BROADWAY BLVD, # 720, TUCSON, AZ 85711(520) 790-7583(520) 790-5175 Get Directions Write a Review

NPPES record last updated: November 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth J Keller Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH J KELLER PHD (NPI 1114075207) is an individual clinical provider in Tucson, Arizona, licensed in Arizona (3461) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114075207
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameKENNETH J KELLERCredential: PHD
Location Address5151 E BROADWAY BLVD, # 720Tucson, AZ 85711-3705
Mailing Address5151 E Broadway Blvd, # 720Tucson, AZ 85711-3705 · (520) 790-7583 · Fax (520) 790-5175
Phone(520) 790-7583
Fax(520) 790-5175
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateNovember 8, 2007
✔ NPI 1114075207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in AZ · 3461
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5151 E BROADWAY BLVD, Tucson, AZ 85711
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Other Identifiers 1

Medicare PINZ73320AZ

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY I PERRIN PH.D.
Psychologist (Forensic)
5151 E BROADWAY BLVD, SUITE 720
TUCSON, AZ 85711
Pima County (520) 790-5200
DR. ARUNDHUTI KUNDU MD
Psychiatry & Neurology (Psychiatry)
5151 E BROADWAY BLVD
TUCSON, AZ 85711
Pima County (520) 405-1005
MARY ANN FINNEGAN
Registered Nurse
5151 E BROADWAY BLVD
TUCSON, AZ 85711
Pima County (520) 747-4110
DEBORAH THIEME CNA
Nurse's Aide
5151 E BROADWAY BLVD, STE. 1250
TUCSON, AZ 85711
Pima County (520) 747-4100
MRS. JENIFER J BURRELL OTR/L
Occupational Therapist
5151 E BROADWAY BLVD
TUCSON, AZ 85711
Pima County (480) 787-5387
DR. JENNIFER KRUG PHD
Psychologist
5151 E BROADWAY BLVD, STE 1600
TUCSON, AZ 85711
Pima County (520) 222-8061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Keller's NPI number?

The NPI number for Kenneth Keller is 1114075207. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Kenneth Keller located?

Kenneth Keller practices at 5151 E Broadway Blvd # 720, Tucson, AZ 85711. The listed phone number is (520) 790-7583.

What is Kenneth Keller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kenneth Keller was last updated on November 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.