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MR. LEROY NEAL KEENE PAC NPI 1952474041


NPI Information

NPI: 1952474041
Provider Name: MR. LEROY NEAL KEENE, PAC
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
320 WARNER DRIVE
LEWISTON, ID
ZIP 83501
Phone: (208) 798-5147
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MR. Leroy Neal Keene, PAC is a physician assistant in Lewiston, ID. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Leroy Neal Keene, PAC NPI is 1952474041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

320 WARNER DRIVE
LEWISTON, ID
ZIP 83501
Phone: (208) 798-5147
Fax: (208) 746-8741

The enumeration date for this NPI number is 11/16/2006 and was last updated on 12/26/2007.


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
1363A00000XPhysician AssistantPA10004927WASHINGTONNo
2363A00000XPhysician AssistantPA645IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PAC08OTHERIDAHOBCI
2000010154322OTHERIDAHOREGENCE
31667527MEDICARE PINIDAHO
4P0037498MEDICARE PINIDAHO
58859728MEDICARE PINWASHINGTON
68450645MEDICAIDWASHINGTON
7G63366MEDICARE UPINIDAHO

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: 11/14/2023

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