Keith Thomas Sivertson in Ketchum - Emergency Medicine

Keith Thomas Sivertson - NPI 1275560260

Keith Thomas Sivertson is a Emergency Medicine in Ketchum, Idaho. Keith Thomas Sivertson practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Keith Thomas Sivertson is 1275560260. The last update date is 2007-07-08.

Keith Thomas Sivertson's current location address is 100 Hospital Drive, Ketchum, Idaho. You can contact this provider via phone number 2087278445 and fax number 2987278446. The mailing address for Keith Thomas Sivertson is 100 Hospital Drive, Ketchum, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Thomas Sivertson
Address 100 Hospital Drive, Ketchum, Idaho
Phone Number 2087278445
Fax Number 2987278446
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1275560260
Provider Enumeration Date 2006-06-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 100 Hospital Drive
City Ketchum
State Idaho (ID)
Post Code 83340
Phone Number 2087278445
Fax Number 2987278446

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No M5846
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

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FAQs about Keith Thomas Sivertson

What is the Keith Thomas Sivertson's 1275560260?

The Keith Thomas Sivertson's NPI (National Provider Identifier) Number is 1275560260. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Keith Thomas Sivertson's facilities are geographically located?

The facilities of Keith Thomas Sivertson are physically situated at the following location: 100 Hospital Drive, Ketchum, ID, 83340.

What is Keith Thomas Sivertson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Keith Thomas Sivertson's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.

On what date did the Keith Thomas Sivertson receive the assignment of its 1275560260 from the Centers for Medicare & Medicaid Services?

The Keith Thomas Sivertson was issued its 1275560260 by the Centers for Medicare & Medicaid Services on 2006-06-27.

When was the information pertaining to Keith Thomas Sivertson most recently updated or revised?

The details related to Keith Thomas Sivertson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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