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NPI Code Detail

MEDICARE: KEELEY MCNEW

MEDICARE: KEELEY MCNEW
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
1106S00000XBehavior TechnicianRBT-21-187661MT

General Provider Information

NPI Number : 1871284190
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEELEY MCNEW
Provider Business Mailing Address
First Line : 1091 STONERIDGE DR
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-7042
Country : US
Telephone Number : 406-624-6599
Fax Number : 888-336-0944
Provider Business Practice Location Address
First Line : 1091 STONERIDGE DR
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-7042
Country : US
Telephone Number : 406-624-6599
Fax Number : 888-336-0944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2023
Last Update Date : 05/17/2023

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Directions to “ KEELEY MCNEW ” Practice Location

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