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KEYSTONE CENTER FOR GERIATRICS LLC NPI 1376211268


NPI Information

NPI: 1376211268
Provider Name: KEYSTONE CENTER FOR GERIATRICS LLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
305 W BANNOCK ST
BOISE, ID
ZIP 83702
Phone: (208) 514-0670
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KEYSTONE CENTER FOR GERIATRICS LLC is a geriatric medicine family medicine in Boise, ID. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. KEYSTONE CENTER FOR GERIATRICS LLC NPI is 1376211268. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

305 W BANNOCK ST
BOISE, ID
ZIP 83702-033
Phone: (208) 514-0670

The provider's authorized official is Leonard Richard Jensen .
The authorized official title is Owner and has the following contact phone number (208) 514-0670.

The enumeration date for this NPI number is 9/3/2021 and was last updated on 9/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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