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

DR. MARK R KEANE, M.D.

Active Sole Proprietor

DR. MARK R KEANE, M.D. is a Neurology healthcare provider located in LEWISTON, Idaho. NPI 1427044643 is currently active in the NPPES registry. Verify at CMS.

Neurology · LEWISTON, ID

Registration Details

NPI Number
1427044643
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2005 (20.903341757177 yrs)
Last Updated
Dec 26, 2024
Licenses
MD00037909 (WA)
24256 (AZ)
M7728 (ID)
Sole Proprietor
Yes

Practice Information

Address
415 6TH ST
LEWISTON, ID, 835012431
Browse ID providers · Browse ZIP 83501
Phone
2087507474
Primary Specialty
Neurology
2084N0400X
Additional Specialty
Neurology
Additional Specialty
Neurology

Other Neurology Providers in LEWISTON, ID

Name Credential NPI
JEAN K THOMAS MD 1881695534
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.