Dermatology
Dr. WADE KELLER D.O.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1942402169 · enumerated 2007-06-01 · record updated 2022-11-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1605 E RIVERSIDE DR, EAGLE, ID, 83616-6237 (208) 939-6227 Fax (208) 939-6442 Google Maps Apple Maps OpenStreetMap
- Mailing address 1605 E RVERSIDE DRIVE, EAGLE, ID, 83616 (208) 939-6227 Fax (208) 939-6442 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · License 4692 AZ
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · License O-0559 ID
- Dermatology, Procedural Dermatology 207NS0135X · License O-0559 ID
- Dermatology 207N00000X · Primary · License O-0559 ID
In this directory
Locations and evidence
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Practice location
EAGLE, ID, 836166237
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.