IndividualActive
Chad Keller, MSED, BSN, RN, ATC
NPI 1720052640 · Ambulatory Care Registered Nurse · Wichita, KS
Provider details
- NPI number
- 1720052640
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Credential
- MSED, BSN, RN, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 24-00315 (KS)
Mailing address
2232 S Michelle St
Wichita, KS 67207-6690
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2015-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.