Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JARED BRENT KELLER, P.A.
Active Sole ProprietorJARED BRENT KELLER, P.A. is a Physician Assistant healthcare provider located in RUPERT, Idaho. NPI 1861822439 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RUPERT, ID
Registration Details
- NPI Number
- 1861822439
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 19, 2013 (12.727523217652 yrs)
- Last Updated
- Mar 17, 2021
- License
-
PA-1256 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
402 6TH STRUPERT, ID, 833501619Browse ID providers · Browse ZIP 83350
- Phone
- 2086507941
- Fax
- 2084360735
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in RUPERT, ID
| Name | Credential | NPI |
|---|---|---|
| HAYDEN WHEATLEY | PA-C | 1336990514 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.