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100 CHIRO KELLER, PLLC

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Company Details

Name: 100 CHIRO KELLER, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 07 Feb 2022 (3 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 4598664
Place of Formation: IDAHO
File Number: 804584
ZIP code: 83646
County: Ada County
Principal Address: 460 E LAKE CT MARIETTA, GA 30062
Mailing Address: 237 E HAVASUPAI ST MERIDIAN, ID 83646-6021

Agent

Name Role Address
DAVID KELLER Agent 237 E HAVASUPAI ST, MERIDIAN, ID 83646

Member

Name Role Address Appointed On Resigned On
TAYLOR KELLER DC Member 460 E LAKE CT, MARIETTA, GA 30062 2023-03-01 2024-02-12
DAVID KELLER DC Member 5956 N LINDER RD, MERIDIAN, ID 83646-1672 2024-02-09 No data

National Provider Identifier

NPI Number:
1659091726
Certification Date:
2022-08-25

Authorized Person:

Name:
DR. DAVID T KELLER
Role:
CHIROPRACTOR/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report Amendment 0006163683 2025-03-18
Statement of Change of Business Mailing Address 0006163650 2025-03-18
Annual Report 0006131300 2025-02-27
Annual Report Amendment 0005599855 2024-02-12
Annual Report 0005594897 2024-02-09

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State