# MATTHEW M KEUM, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518224906
- **Authorized official:** MATTHEW M KEUM MD (CEO)
- **Authorized official phone:** (440) 269-4990

## Contact information

- **Practice address:** 36060 EUCLID AVE, SUITE 101, WILLOUGHBY, OH 44094-4656
- **Practice address phone:** (440) 269-4990
- **Practice address fax:** (440) 269-4991
- **Mailing address:** 36060 EUCLID AVE, SUITE 101, WILLOUGHBY, OH 44094-4656
- **Mailing address phone:** (440) 269-4990
- **Mailing address fax:** (440) 269-4991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 35078037 | OH | Yes |

## Other

- **Enumeration date:** 04/23/2012
- **Last updated:** 04/23/2012