Keller Skin & Cancer Care PC
Keller Skin & Cancer Care PC is a Dermatology Physician in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2012.
- Licensed in
- ID
- In the registry since
- 2012
- Specialties on file
- 4
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1605 E Riverside DrEagle, ID 83616
Phone: (208) 939-6227
Fax: (208) 939-6442
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence O-0559 (ID) |
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
| Procedural Dermatology Physician | Taxonomy 207NS0135X |
Record details
| NPI number | 1649543323 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wade Keller — President · (208) 939-6227 |
| Other names | Keller Skin Care; Keller Skin Care |
| NPI enumerated | February 11, 2012 |
| Last updated in NPPES | November 3, 2022 |
| Certification date | November 3, 2022 |
| Mailing address | 1605 E Riverside Dr, Eagle, ID 83616-6237 |
Other providers in Eagle
-
Eagle Dermatology, PLLC
323 E Riverside Dr Ste 234, Eagle, ID 83616-6865 · (208) 391-7210
-
Dr. Gregory Lynn Flint, MD
868 E Riverside Dr Ste 200, Eagle, ID 83616-6019 · (208) 367-2864
-
Dr. Wade Robert Keller, DO
1605 E Riverside Dr, Eagle, ID 83616-6237 · (208) 939-6227
-
Heather Nicole Knutson, NP
1605 E Riverside Dr, Eagle, ID 83616-6237 · (208) 939-6227