SearchIdaho207L00000X

Terry Keller

NPI 1508810631 · on the registry since 2006

Practice

Address
111 W State St
Boise, ID 83702
Phone
(208) 336-0895
Clinicians at this address
57

Registry record

Primary taxonomy
207L00000X
207L00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho