CARL F. KELLER, III – NPI #1407664212
Emergency Medical Technician, Intermediate

An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.

CARL KELLER, III is an intermediate emergency medical technician located in FAYETTEVILLE, AR. NPPES has assigned the NPI number 1407664212 to CARL KELLER, III on December 26, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 146M00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medical Technician, Intermediate.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARL KELLER, III below.

NPI Profile for
CARL F. KELLER, III

NPI Number
1407664212
Enumeration Date

(more than a year ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CARL F. KELLER, III
Primary location
303 W CENTER ST
FAYETTEVILLE, AR 72701-5102
Phone: (479) 973-4801 Fax:
Mailing address
15775 OAK CHASE DR
FAYETTEVILLE, AR 72704-9721
Phone: (479) 841-8132 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Dec 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
146M00000X
- Emergency Medical Technician, Intermediate (Primary)
AR 26249

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.