Matthew S. Keene is a Podiatrist in Rockford, Illinois. Matthew S. Keene practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Matthew S. Keene is 1508967621. The last update date is 2019-09-12.
Matthew S. Keene's current location address is 4777 East State Street, Rockford, Illinois. You can contact this provider via phone number 8159808980 and fax number 8153972266. The mailing address for Matthew S. Keene is 4777 East State Street, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew S. Keene |
|---|---|
| Address | 4777 East State Street, Rockford, Illinois |
| Phone Number | 8159808980 |
| Fax Number | 8153972266 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1508967621 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2019-09-12 |
Provider Mailing Address Detail
| Address | 4777 East State Street |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 61108 |
| Phone Number | 8159808980 |
| Fax Number | 8153972266 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16005216 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10132351 | IL | ILLINOIS BLUE CROSS | |
| 16005216 | IL | -- |
Post Comment/ Review Below
What is the Matthew S. Keene's 1508967621?
The Matthew S. Keene's NPI (National Provider Identifier) Number is 1508967621. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Matthew S. Keene's physical address?
The Matthew S. Keene is physically located at 4777 East State Street, in the city of Rockford, IL, with the postal code 61108.
What is Matthew S. Keene's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Matthew S. Keene is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
When did Matthew S. Keene receive its 1508967621 assignment?
The Matthew S. Keene was assigned its 1508967621 on 2006-09-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Matthew S. Keene last refreshed?
The information related to the Matthew S. Keene, including its address, specialty, and other relevant details, was last updated on 2019-09-12.