Individual
AMANDA EILEEN KEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 N CURTIS RD, SUITE 202, BOISE, ID 83706-1337
(208) 377-3435
(208) 377-3147
Mailing address
1000 N CURTIS RD, SUITE 202, BOISE, ID 83706-1337
(208) 377-3435
(208) 377-3147
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
23709
NE
208100000X
Physical Medicine & Rehabilitation Physician
37126
IA
208100000X
Physical Medicine & Rehabilitation Physician
45799
MN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M-12757
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1574095
—
IA
05
—
47037661525
—
NE
Enumeration date
01/16/2006
Last updated
12/15/2014
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