Whalio Doctors

NPI 1427044643

Mark R Keane, MD

Practitioner Neurology Physician Lewiston, ID

Practice location

Address
415 6th St, Lewiston, ID 83501-2431
Phone
(208) 750-7474
Mailing address
415 6th Street, Lewiston, ID 83501-2424

Registered specialties (3)

Neurology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence M7728 (ID)
Neurology Physician
Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence MD00037909 (WA)
Neurology Physician
Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 24256 (AZ)

Registry record

NPI
1427044643
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Sep 2005
Record last updated
26 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.