Gregory R Keese in Coeur D Alene - Specialist
Gregory R Keese - NPI 1316137862
Gregory R Keese is a Specialist in Coeur D Alene, Idaho. Gregory R Keese practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gregory R Keese is 1316137862. The last update date is 2021-04-26.
Gregory R Keese's current location address is 1107 W Ironwood Dr, Coeur D Alene, Idaho. You can contact this provider via phone number 2086677459 and fax number 2086672631. The mailing address for Gregory R Keese is 1107 W Ironwood Dr, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory R Keese |
|---|---|
| Address | 1107 W Ironwood Dr, Coeur D Alene, Idaho |
| Phone Number | 2086677459 |
| Fax Number | 2086672631 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1316137862 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2021-04-26 |
Provider Mailing Address Detail
| Address | 1107 W Ironwood Dr |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838142604 |
| Phone Number | 2086677459 |
| Fax Number | 2086672631 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | TL-3904 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01315338 | ID | PALMETTO GBA | |
| 1740539725 | ID | NEW ORGANIZATION NPI LINKED TO | |
| 1083729438 | ID | OSSM ORGANIZATION LINKED TO TH |
Post Comment/ Review Below
What is the Gregory R Keese's unique identification number?
The Gregory R Keese has been assigned the NPI (National Provider Identifier) Number 1316137862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Gregory R Keese is physically located?
The Gregory R Keese is physically situated at the following address: 1107 W Ironwood Dr, Coeur D Alene, ID, 838142604.
What is the Gregory R Keese's specialty and taxonomy code?
The Gregory R Keese's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Gregory R Keese receive the assignment of its 1316137862 from the Centers for Medicare & Medicaid Services?
The Gregory R Keese was issued its 1316137862 by the Centers for Medicare & Medicaid Services on 2007-07-31.
As of what date was the information pertaining to Gregory R Keese, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gregory R Keese, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-04-26.