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General NPI Number Information
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NPI Number | 1689663684
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Entity Type | Individual
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Provider Name | KEVIN WAYNE KEEFE DO
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Gender | Male
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | 2923 GINNALA DR
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City | LOVELAND
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State | CO
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Zip | 80538-2702
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Country | US
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Telephone | 970-669-6660
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Fax | 970-669-1099
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Provider Business Mailing Address
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Address Line | 1627 E 18TH ST
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City | LOVELAND
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State | CO
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Zip | 80538-4209
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Country | US
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Telephone | 970-663-0135
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Fax | 970-461-1422
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 02093
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 44297
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License Number State | CO
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