OrganizationActive
Keller Skin & Cancer Care PC
NPI 1649543323 · Dermatology Physician · Eagle, ID
Provider details
- NPI number
- 1649543323
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wade Keller, President(208) 939-6227
- License
- O-0559 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1605 E Riverside Drive
Eagle, ID 83616
Phone: (208) 939-6227
Fax: (208) 939-6442
Street-level locationGet directions
Mailing address
1605 E Riverside Dr
Eagle, ID 83616-6237
Other names (DBA / former)
- Doing business as
- Keller Skin Care
- Doing business as
- Keller Skin Care
Registry dates
- Enumerated
- 2012-02-11
- Last updated
- 2022-11-03
- Certified
- 2022-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.