Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keaton John Kelly

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457230328

Keaton John Kelly is a Student in an Organized Health Care Education/Training Program in Cedar Falls, Iowa. Licensed in Iowa. Registered with an NPI since 2025.

Licensed in
IA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

2351 Hudson Rd
Cedar Falls, IA 50614-0065
Phone: (563) 920-2464
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457230328
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address2351 Hudson Rd, Cedar Falls, IA 50614-0065

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