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Individual

DR. RICHARD BRIAN KEENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
222 SHOSHONE ST E, TWIN FALLS, ID 83301-6105
(208) 370-8288
Mailing address
222 SHOSHONE ST E, TWIN FALLS, ID 83301-6105
(208) 370-8288

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
853779469
ID
Enumeration date
12/22/2022
Last updated
12/22/2022
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