Individual
DR. KEELYN L ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 354-9591
Mailing address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 270-8670
(785) 368-0478
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
04-30248
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067349
MEDICARE PTAN
KS
05
—
200383540B
—
KS
Enumeration date
07/15/2006
Last updated
01/06/2026
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