KELLY RENEE KELLER SCHOOL NURSE
NPI 1487112918
Registered Nurse - School in Marion, IL

Active since March 04, 2019
411 S COURT ST, MARION, IL 62959(618) 993-2138 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Renee Keller School Nurse NPPES

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

KELLY RENEE KELLER SCHOOL NURSE (NPI 1487112918) is an individual school provider in Marion, Illinois, licensed in Illinois (041309727) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1487112918
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameKELLY RENEE KELLERCredential: SCHOOL NURSE
Location Address411 S COURT STMarion, IL 62959-2711
Mailing Address411 S Court StMarion, IL 62959-2711 · (618) 993-2198
Sole ProprietorNo
Enumeration DateMarch 4, 2019
NPI 1487112918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License Licensed in IL · 041309727
411 S COURT ST, Marion, IL 62959

Other Identifiers 1

Medicaid1902070642IL

Other Providers at the Same Location NPPES 7

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

Speech-Language Pathologist
411 S COURT ST
MARION, IL 62959
Physical Therapy Assistant
411 S COURT ST
MARION, IL 62959
Speech-Language Pathologist
411 S COURT ST
MARION, IL 62959
Speech-Language Pathologist
411 S COURT ST
MARION, IL 62959
Speech-Language Pathologist
411 S COURT ST
MARION, IL 62959
Student in an Organized Health Care Education/Training Program
411 S COURT ST
MARION, IL 62959
Local Education Agency (LEA)
411 S COURT ST
MARION, IL 62959

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 Kelly Keller's NPI number?

The NPI number for Kelly Keller is 1487112918. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Where is Kelly Keller located?

Kelly Keller practices at 411 S Court St, Marion, IL 62959. The listed phone number is (618) 993-2138.

What is Kelly Keller's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Kelly Keller was last updated on March 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.