Individual provider · Type 1 NPI

Alexis Keller, LPN

Licensed Practical Nurse · Independence, KY

NPI number 1104700541 Active

Practice location

1971 Walton Nicholson Pike
Independence, KY 41051-7902

Mailing address

2607 Pancoast Ave
Cincinnati, OH 45211-7814

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN193411 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104700541

Alexis Keller, LPN's National Provider Identifier is 1104700541, issued on Jul 31, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Independence, KY. The record was last updated on Jul 31, 2025.