Keith Thomas Sivertson, M.D.

NPI #1275560260 in Ketchum, Idaho

Provider Information

NPI Number: 1275560260
Entity Type: Individual
Name: Keith Thomas Sivertson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Jun 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 100 HOSPITAL DRIVE
City: Ketchum
State: Idaho
ZIP Code: 83340
Phone: (208) 727-8445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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