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Keller Skin & Cancer Care PC

Dermatology Physician in Eagle, ID · enumerated 2012 · authorized official Wade Keller, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649543323

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Registry record

Entity type Organization (Type 2)
Legal business name Keller Skin & Cancer Care PC
Other name <Unavail>
Practice address 1605 E Riverside Drive, Eagle, ID, 83616
Phone (208) 939-6227
Fax (208) 939-6442
Enumeration date Feb 11, 2012
Last updated in NPPES Nov 3, 2022

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License O-0559 (ID) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary
207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Wade Keller
Title President
Phone (208) 939-6227

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-11-03. Verify at npiregistry.cms.hhs.gov.
Where is Keller Skin & Cancer Care PC located?
The practice location on file with NPPES is in Eagle, ID.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-11-03.