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

Kevin Keller

Individual provider Speech-Language Pathologist · NPI 1811725377

Kevin Keller is a Speech-Language Pathologist in Rexburg, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2024

Practice location Address checks out

859 S Yellowstone Hwy
Rexburg, ID 83440-5293
Phone: (208) 313-0091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 8961468 (ID)

Record details

NPI number1811725377
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 24, 2024
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing address335 Gustafson Dr, Idaho Falls, ID 83402-4637

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