Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811725377 Individual Practitioner Male Practitioner

Kevin Keller

Speech-Language Pathologist • Rexburg, ID

Professional Overview & Biography Verified Profile Summary

Kevin Keller is a registered healthcare professional specializing in Speech-Language Pathologist in Rexburg, ID. Practice services are available at 859 S YELLOWSTONE HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

859 S Yellowstone Hwy

Rexburg, ID 834405293

Telephone 2083130091
Associated Practice Facility / Clinic
🏢 Hgns Investments Facility NPI 1669573416

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Rexburg, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
27 Specialists

Practicing in Rexburg, ID (967 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ID 8961468

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Rachel Batemon

Speech-Language Pathologist

NPI 1063948610
Dr. Spencer Mauseth , DDS

Dentist - Pediatric Dentistry

NPI 1619187390

Doctor of Dental Surgery

Brianne Banks , SLP

Speech-Language Pathologist

NPI 1659997138

Speech-Language Pathologist

Jeffrey Despot , MS CF-SLP

Speech-Language Pathologist

NPI 1750019675

MSCFSLP

Laura Dolezal , CCC, SLP

Speech-Language Pathologist

NPI 1750798526

Certificate of Clinical Competence, Speech-Language Pathologist

Sarah Panting , MS, CCC-SLP

Speech-Language Pathologist

NPI 1801243506

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 24, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2024

Registered at 859 S YELLOWSTONE HWY, REXBURG, ID 834405293 (Tel: 2083130091)

📍
Updated Business Mailing Address July 24, 2024

Registered at 335 GUSTAFSON DR, IDAHO FALLS, ID 834024637 (Tel: 2083130091)

👤
Provider Name / Credentials Updated July 24, 2024

Recorded as KEVIN KELLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2024

Speech-Language Pathologist (License #8961468 in ID)

🟢
Initial NPI Registration & Enumeration July 24, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811725377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2024
Last Update: July 24, 2024
Sole Proprietor: Yes

Mailing Address

335 Gustafson Dr

Idaho Falls, ID 834024637

Phone: 2083130091

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.