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

Kimberly D Keller, PA-C

Individual provider Physician Assistant · NPI 1386976637

Kimberly D Keller, PA-C is a Physician Assistant in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

12100 Dix Toledo Rd
Southgate, MI 48195-3531
Phone: (734) 282-5502
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004611 (MI)

Record details

NPI number1386976637
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 10, 2010
Last updated in NPPESFebruary 10, 2010

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