Keeven, Leonard James Shawn

Keeven, Leonard James Shawn is an individual health care provider with primary practice located at 600 John Deere Rd Ste 404, Moline IL 61265-6869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Keeven, Leonard James Shawn can be contacted via phone (309) 779-3627.

Contact Information

Primary practice address
600 John Deere Rd Ste 404 Moline IL 61265-6869
Fax: (309) 779-4500
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036115130 Illinois

Profile Details

NPI number 1750347035
LBN Legal business name Keeven, Leonard James Shawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 5th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750347035 NPPES
Illinois Other P01079966 RR MEDICARE

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