ERIK LEROY KELLER (NPI# 1639582760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639582760 |
| Entity Type | Individual |
| Full Name | ERIK LEROY KELLER |
| Credential | ATC |
| Practice Address |
9300 E 29th St N Suite 205 Wichita KS 67226-2182 |
| Practice Telephone | 3162198299 |
| Practice Fax Number | 3162195899 |
| Mailing Telephone | 3162198299 |
| Mailing Fax Number | 3162195899 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
24-00525 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9300 E 29TH ST N SUITE 205 |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700710 | Michael D Bates | Obstetrics & Gynecology | 9300 E 29th St N, Ste 201, Wichita, KS 67226-2183 | 2005-06-17 |
| 1629500020 | Mid Kansas Intimate | Obstetrics & Gynecology | 9300 E 29th St N, Suite 201, Wichita, KS 67226-2182 | 2017-04-03 |
| 1225422488 | Heartland Pathology Diagnostics, LLC | Clinical Medical Laboratory | 9300 E 29th St N, Wichita, KS 67226-2182 | 2015-03-26 |
| 1558763482 | Myria Oakley | Specialist/Technologist | 9300 E 29th St N, Wichita, KS 67226-2182 | 2014-09-23 |
| 1750794111 | Renae Joyce Williamson | Specialist | 9300 E 29th St N, Suite 205, Wichita, KS 67226-2182 | 2014-06-03 |
| 1245579788 | Cypress Rt Associates LLC | Radiology | 9300 E 29th St N, Bldg 300 Ste 410, Wichita, KS 67226-2182 | 2013-02-04 |
| 1003160987 | Ahmad Qaddour | Internal Medicine | 9300 E 29th St N, Suite 310, Wichita, KS 67226-2182 | 2012-10-31 |
| 1639431208 | Melinda Bron | Obstetrics & Gynecology | 9300 E 29th St N, Suite 201, Wichita, KS 67226-2182 | 2012-06-11 |
| 1528329364 | Taylor Lynn Bertschy | Obstetrics & Gynecology | 9300 E 29th St N, Suite 201, Wichita, KS 67226-2182 | 2012-06-07 |
| 1710252390 | Central Care, Pa | Specialist | 9300 E 29th St N, Ste 315, Wichita, KS 67226-2182 | 2012-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841749 | Mick Emerson Harris | Specialist/Technologist | 523 N Birkdale Ct, Wichita, KS 67230-1532 | 2020-11-03 |
| 1922611201 | Kylie Alexis Roberts | Specialist/Technologist | 7610 E 32nd St N Apt 702, Wichita, KS 67226-1284 | 2020-08-26 |
| 1467084947 | Alex Milby | Specialist/Technologist | 1043 N Post Oak Rd, Wichita, KS 67206-3829 | 2020-02-12 |
| 1457996001 | Haleigh Raeann Owens | Specialist/Technologist | 3100 W Mccormick Ave, Wichita, KS 67213-2008 | 2019-11-07 |
| 1801375183 | Joshua Gerard Elmer | Specialist/Technologist | 500 E Waterman St, Wichita, KS 67202-4509 | 2018-08-08 |
| 1689151227 | Serena Lynn Lytle | Specialist/Technologist | 620 S Richmond St, Wichita, KS 67213-2644 | 2018-07-26 |
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1649716069 | Weston Bucher | Specialist/Technologist | 1437 N Rochester St, Wichita, KS 67203-2647 | 2017-01-09 |
| 1487197000 | Dennis John Munk | Specialist/Technologist | 7903 W 19th St N, Wichita, KS 67212-1499 | 2016-11-30 |
| 1174987218 | Cris Dooley | Specialist/Technologist | 1999 N Amidon Ave Ste 100, Wichita, KS 67203-2122 | 2016-04-05 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.