MR. Leroy Neal Keene, PAC

NPI #1952474041 in Lewiston, Idaho

Provider Information

NPI Number: 1952474041
Entity Type: Individual
Name: MR. Leroy Neal Keene, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Nov 16, 2006
Last Updated: Dec 26, 2007

Practice Location

Address: 320 WARNER DRIVE
City: Lewiston
State: Idaho
ZIP Code: 83501
Phone: (208) 798-5147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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