Mark R Keane is a Neurology in Lewiston, Idaho. Mark R Keane practices all healthcare services and medical treatments related to Neurology. The NPI Number for Mark R Keane is 1427044643. The last update date is 2023-04-21.
Mark R Keane's current location address is 415 6th St, Lewiston, Idaho. You can contact this provider via phone number 2087507474. The mailing address for Mark R Keane is 415 6th St, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R Keane |
|---|---|
| Address | 415 6th St, Lewiston, Idaho |
| Phone Number | 2087507474 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1427044643 |
|---|---|
| Provider Enumeration Date | 2005-09-22 |
| Last Updated Date | 2023-04-21 |
Provider Mailing Address Detail
| Address | 415 6th St |
|---|---|
| City | Lewiston |
| State | Idaho (ID) |
| Post Code | 835012431 |
| Phone Number | 2087507474 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 24256 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 805433500 | ID | -- | |
| 7088867 | WA | -- | |
| 8239543 | WA | -- | |
| 128039 | WA | L & I WA |
Post Comment/ Review Below
What is the unique identifier code issued to Mark R Keane by the Centers for Medicare & Medicaid Services (CMS)?
The Mark R Keane has been assigned the NPI (National Provider Identifier) 1427044643. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Mark R Keane is physically located?
The Mark R Keane is physically situated at the following address: 415 6Th St, Lewiston, ID, 835012431.
What is Mark R Keane's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark R Keane's area of specialization is Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0400X.
On what date did Mark R Keane receive its 1427044643 assignment from the Centers for Medicare & Medicaid Services?
The Mark R Keane was assigned its 1427044643 on 2005-09-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mark R Keane, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark R Keane, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-04-21.