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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IAN RANDALL KECK, DO

Deactivated

Emergency Medicine · KAILUA, HI

This NPI has been deactivated. The record was deactivated on June 18, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1134653520
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2017 (2.1830601092896 yrs)
Last Updated
Apr 20, 2024
Deactivated
Jun 18, 2019
License
DOS-2295 (HI)

Practice Information

Address
407 ULUNIU ST
KAILUA, HI, 967342519
Browse HI providers · Browse ZIP 96734
Phone
8082613326
Primary Specialty
Emergency Medicine
207P00000X

Other Emergency Medicine Providers in KAILUA, HI

Name Credential NPI
DR. MORRIS L RIVERA MD 1669440335
WILLIAM P. SCRUGGS M.D. 1407895444
KATHERINE S. HEINZEN JIM M.D. 1821032822
DR. LISA ANNE HENDRICKSON M.D. 1710918990
JOSEPH A. POLLARD D.O. 1386677003
GREGGORY SCOTT SHUBERT M.D 1114930906
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.