MEDICARE: K THOMAS KELLER DC SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1669 012	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1962515999	OTHER		INDVIDIUAL NPI

General Provider Information

NPI Number	:	1881752202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K THOMAS KELLER DC SC

Provider Business Mailing Address
First Line	:	4060 N MAIN ST
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53402-3121
Country	:	US
Telephone Number	:	262-639-2210
Fax Number	:	262-639-4495

Provider Business Practice Location Address
First Line	:	4060 N MAIN ST
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53402-3121
Country	:	US
Telephone Number	:	262-639-2210
Fax Number	:	262-639-4495

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KARL THOMAS KELLER
Credential	:	DC
Telephone Number	:	262-639-2210

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1518967470 — MR. RONALD L ALLEN MD
Practice Location Address:

4060 N MAIN ST
RACINE, WI
53402-3121

Practice Phone: 262-752-2020
Practice Fax:

1184682775 — DR. SARA KRISTEN NICHOLSON O.D.
Practice Location Address:

4060 N MAIN ST
RACINE, WI
53402-3121

Practice Phone: 262-752-2020
Practice Fax: 262-292-5019

1962515999 — KARL THOMAS KELLER DC
Practice Location Address:

4060 N MAIN ST
RACINE, WI
53402-3121

Practice Phone: 262-639-2210
Practice Fax: 262-639-4495

1578606810 — EYE CARE SURGICAL CONSULTING, S.C.
Practice Location Address:

4060 N MAIN ST
RACINE, WI
53402-3121

Practice Phone: 262-752-2020
Practice Fax:

1417070665 — ROBIN D KNODEL D.D.S.
Practice Location Address:

4060 N MAIN ST , SUITE 102
RACINE, WI
53402-3121

Practice Phone: 262-639-7298
Practice Fax:

1699984500 — JILL JELINEK L.AC.
Practice Location Address:

4060 N MAIN ST , SUITE 106
RACINE, WI
53402-3121

Practice Phone: 262-635-0525
Practice Fax:

Directions to “K THOMAS KELLER DC SC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.