Individual
DEBORAH G. KEENUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 N 29TH ST, BILLINGS, MT 59101-0905
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
8279
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015121
BCBS PIN
MT
01
—
0109531
MDCD PIN
MT
01
—
112908200
MDCD PIN
WY
Enumeration date
08/31/2006
Last updated
12/04/2014
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