Keese, Gregory R
Keese, Gregory R is an individual health care provider with primary practice located at 1107 W Ironwood Dr , Coeur D Alene ID 83814-2604. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Keese, Gregory R can be contacted via phone (208) 667-7459.Contact Information
Primary practice address
1107 W Ironwood Dr
Coeur D Alene ID 83814-2604
Phone: (208) 667-7459
Fax: (208) 667-2631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | TL-3904 | Idaho |
| Other Service Providers / Specialist | 174400000X | M11774 | Idaho |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | M-11774 | Idaho |
Profile Details
| NPI number | 1316137862 |
|---|---|
| LBN Legal business name | Keese, Gregory R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2007 |
| Last updated | Apr 26th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316137862 | NPPES |
| Idaho | Other | P01315338 | PALMETTO GBA |
| Idaho | Other | 1740539725 | PALMETTO GBA |
| Idaho | Other | 1083729438 | PALMETTO GBA |
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