Keene, Leroy Neal

Keene, Leroy Neal is an individual health care provider with primary practice located at 320 Warner Drive , Lewiston ID 83501. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Keene, Leroy Neal can be contacted via phone (208) 798-5147.

Contact Information

Primary practice address
320 Warner Drive Lewiston ID 83501
Phone: (208) 798-5147
Fax: (208) 746-8741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004927 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA645 Idaho

Profile Details

NPI number 1952474041
LBN Legal business name Keene, Leroy Neal
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Dec 26th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952474041 NPPES
Idaho Other PAC08 BCI
Idaho Other 000010154322 BCI
Idaho MEDICAID 8450645 BCI

Popular Providers