KIMBERLY D KELLER (PA-C) – Physician Assistant, NPI 1386976637

KIMBERLY D KELLER (PA-C) is a healthcare provider. based in Southgate, Michigan. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 5601004611 (MI). The NPI Number for KIMBERLY D KELLER (PA-C) is 1386976637

Main info

Female
Name
KIMBERLY D KELLER (PA-C)
NPI
1386976637
Phone
(734) 282-5502
Address
12100 DIX TOLEDO RD
Enumeration Date
10 February 2010
Last Update Date
10 February 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for KIMBERLY D KELLER (PA-C)

  • My Family Doctor, 12100, Dix-Toledo Highway, Southgate, Wayne County, Michigan, 48195, United States

    SOUTHGATE, MI 481953531

    Phone: (734) 282-5502

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48195)

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Reviews

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Frequently asked questions

Can I use this page to confirm KIMBERLY D KELLER (PA-C)'s NPI?
Yes. KIMBERLY D KELLER (PA-C) is listed with NPI 1386976637 in the public NPI dataset.
Does CMS list KIMBERLY D KELLER (PA-C) as active?
Yes — KIMBERLY D KELLER (PA-C) is active in the NPI listing used on this page.
What is KIMBERLY D KELLER (PA-C)'s specialty?
The listing groups KIMBERLY D KELLER (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for KIMBERLY D KELLER (PA-C)?
KIMBERLY D KELLER (PA-C)'s geographic hint is Southgate, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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