Kimberly D. Keller, PA-C
Physician Assistant · Southgate, MI
Kimberly D. Keller, PA-C is a physician assistant with a practice address in Southgate, Michigan, and NPI 1386976637, issued on Feb 10, 2010. Check the license (Michigan 5601004611, as entered in NPPES) with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kimberly D. Keller
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 5601004611 MI
Self-reported in NPPES; status is on the state search - Practice location
- 12100 Dix Toledo RD, Southgate, MI 48195
- Phone
- (734) 282-5502
- Enumerated
- Feb 10, 2010
- Record last updated
- Feb 10, 2010 (not updated in 16 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 6,989 in Michigan → Look up another NPI →
Also registered at 12100 Dix Toledo RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Chelsea Ellis, PA-CPhysician Assistant1194147538
- Michael Gambel, M.D.Family Medicine Physician1770585580
Verify Kimberly D. Keller in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 5601004611Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kimberly D. Keller among 6,989 physician assistant records in Michigan
Kimberly D. Keller, PA-C is one of 6,989 physician assistant records with a practice address in Michigan. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2010, is newer than 29% of them.
- NPI issued2010 · 29% of these records are older, 68% newer
- In a Medicare fileNo · 82% of these records are
- In the CMS Doctors and Clinicians fileNo · 68% of these records are
- Record last updated2010 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
14 physician assistant records list a practice address in Southgate
They are 14 of the 1,809 NPPES records with a practice address in Southgate, and 6,989 physician assistant records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 6,989 in Michigan → Every provider in Southgate → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Leila Akhavan Shahr Ashoub, MS, PA-CSouthgate, MI 481951821417924
- Amanda Bowman- Collins, PA-CSouthgate, MI 481951275373193
- Kristen Conner, PA-CSouthgate, MI 481951952968836
- Chelsea Ellis, PA-CSouthgate, MI 481951194147538
- Kelli Frost, PACSouthgate, MI 481951982939732
- Mitchell GajarSouthgate, MI 481951982556908
- Paige Harris, PA-CSouthgate, MI 481951992633226
- Sara Kelley, MPAS, PA-CSouthgate, MI 481951447907639
Common questions
What is Kimberly D. Keller, PA-C's NPI number?
Kimberly D. Keller, PA-C's National Provider Identifier (NPI) is 1386976637, issued on Feb 10, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Kimberly D. Keller, PA-C located?
The NPPES record lists a practice address at 12100 Dix Toledo RD, Southgate, MI, 48195. Phone: (734) 282-5502. Providers update this record themselves, so call before visiting.
How can I verify Kimberly D. Keller, PA-C's license?
NPPES lists Michigan license number 5601004611, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.