KIMBERLEE KELLER
NPI 1124707906
Dentist - General Practice in Salt Lake City, UT
About Kimberlee Keller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLEE KELLER (NPI 1124707906) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (13457655-9922) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberlee Keller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84106
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 Kimberlee Keller's NPI number?
The NPI number for Kimberlee Keller is 1124707906. It was assigned to this individual provider in the NPPES registry on July 18, 2023.
Where is Kimberlee Keller located?
Kimberlee Keller practices at 1028 E 2100 S Ste 3, Salt Lake City, UT 84106. The listed phone number is (801) 438-6355.
What is Kimberlee Keller's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kimberlee Keller enrolled in Medicare?
Yes. Kimberlee Keller is registered in the Medicare PECOS enrollment system.
What insurance does Kimberlee Keller accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 14 other insurers list Kimberlee Keller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kimberlee Keller was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kimberlee Keller · NPI 1124707906
General Practice provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since July 18, 2023.
## Identity
- **NPI:** 1124707906 (Entity type: Individual)
- **Enumerated:** July 18, 2023
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 13457655-9922 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1028 E 2100 S STE 3, Salt Lake City, UT 84106-2680
- **Phone:** (801) 438-6355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124707906) · Data from the CMS NPPES public registry.