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NPI Code Detail

MEDICARE: DR. KEVIN WAYNE KEEFE DO

MEDICARE:  DR. KEVIN WAYNE KEEFE  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician02093IA
2207R00000XInternal Medicine Physician44297CO

Other Identifiers

General Provider Information

NPI Number : 1689663684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN WAYNE KEEFE DO
Provider Business Mailing Address
First Line : 1627 E 18TH ST
Second Line :
City : LOVELAND
State : CO
Zip : 80538-4209
Country : US
Telephone Number : 970-663-0135
Fax Number : 970-461-1422
Provider Business Practice Location Address
First Line : 2923 GINNALA DR
Second Line :
City : LOVELAND
State : CO
Zip : 80538-2702
Country : US
Telephone Number : 970-669-6660
Fax Number : 970-669-1099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 05/19/2010

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Directions to “ DR. KEVIN WAYNE KEEFE DO” Practice Location

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