Individual
ISAIAH KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 1ST AVE E, MC LAUGHLIN, SD 57642-2028
(808) 830-7595
(833) 846-8690
Mailing address
425 MAIN ST S, MINOT, ND 58701-4414
(808) 830-7595
(833) 846-8690
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
Primary
—
SD
175T00000X
Peer Specialist
—
—
253J00000X
Foster Care Agency
—
SD
Other
Enumeration date
02/21/2024
Last updated
03/10/2026
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