KIMBERLY D KELLER PA-C
NPI 1386976637
Physician Assistant in Southgate, MI

Active since February 10, 2010
12100 DIX TOLEDO RD, SOUTHGATE, MI 48195(734) 282-5502 Get Directions Write a Review

NPPES record last updated: February 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly D Keller Pa-c NPPES

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

KIMBERLY D KELLER PA-C (NPI 1386976637) is an individual physician assistant in Southgate, Michigan, licensed in Michigan (5601004611) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1386976637
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY D KELLERCredential: PA-C
Location Address12100 DIX TOLEDO RDSouthgate, MI 48195-3531
Mailing Address12100 Dix Toledo RdSouthgate, MI 48195-3531 · (734) 282-5502
Sole ProprietorNo
Enumeration DateFebruary 10, 2010
NPI 1386976637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601004611
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12100 DIX TOLEDO RD, Southgate, MI 48195

Other Providers at the Same Location NPPES 5

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

Physician Assistant
12100 DIX TOLEDO RD
SOUTHGATE, MI 48195
Internal Medicine
12100 DIX TOLEDO RD
SOUTHGATE, MI 48195
Clinic/Center
12100 DIX TOLEDO RD
SOUTHGATE, MI 48195
Family Medicine
12100 DIX TOLEDO RD
SOUTHGATE, MI 48195
Family Medicine
12100 DIX TOLEDO RD
SOUTHGATE, MI 48195

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 Kimberly Keller's NPI number?

The NPI number for Kimberly Keller is 1386976637. It was assigned to this individual provider in the NPPES registry on February 10, 2010.

Where is Kimberly Keller located?

Kimberly Keller practices at 12100 Dix Toledo Rd, Southgate, MI 48195. The listed phone number is (734) 282-5502.

What is Kimberly Keller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Keller was last updated on February 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.