Individual provider · Type 1 NPI

Heidi N. Keller, PA-C

Physician Assistant · Mequon, WI

NPI number 1366679136 Active

Practice location

6425 W Mequon Rd
Mequon, WI 53092-1862

Call (262) 387-8200 Map

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2437-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366679136

Heidi N. Keller, PA-C's National Provider Identifier is 1366679136, issued on Jun 18, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mequon, WI. The record was last updated on Mar 31, 2025.