Kimberly A. Keller in Bloomington - Occupational Therapist
Kimberly A. Keller - NPI 1720279409
Kimberly A. Keller is a Occupational Therapist in Bloomington, Illinois. Kimberly A. Keller practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Kimberly A. Keller is 1720279409. The last update date is 2019-03-01.
Kimberly A. Keller's current location address is 1111 Trinity Ln, Bloomington, Illinois. You can contact this provider via phone number 3096636461 and fax number 3096614666. The mailing address for Kimberly A. Keller is 1111 Trinity Ln, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly A. Keller |
|---|---|
| Address | 1111 Trinity Ln, Bloomington, Illinois |
| Phone Number | 3096636461 |
| Fax Number | 3096614666 |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1720279409 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2019-03-01 |
Provider Mailing Address Detail
| Address | 1111 Trinity Ln |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617048111 |
| Phone Number | 3096636461 |
| Fax Number | 3096614666 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 56004609 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| STATE LICENSE | IL | 56004609 |
Post Comment/ Review Below
What is the unique identification code assigned to Kimberly A. Keller by the Centers for Medicare & Medicaid Services?
The Kimberly A. Keller has been issued the NPI (National Provider Identifier) 1720279409. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kimberly A. Keller's physical address?
The Kimberly A. Keller is physically located at 1111 Trinity Ln, in the city of Bloomington, IL, with the postal code 617048111.
What is Kimberly A. Keller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kimberly A. Keller is Occupational Therapist, and the taxonomy classification code that categorizes this area of expertise is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720279409 to Kimberly A. Keller?
The Kimberly A. Keller received its 1720279409 assignment from the Centers for Medicare & Medicaid Services on 2007-08-07.
As of what date was the information regarding Kimberly A. Keller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kimberly A. Keller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-03-01.
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