Individual
KATHLEEN C. KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 E IDAHO ST STE 400, BOISE, ID 83712-6267
(208) 345-5250
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
(970) 826-2429
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
45921
CO
207V00000X
Obstetrics & Gynecology Physician
Primary
O-0685
ID
390200000X
Student in an Organized Health Care Education/Training Program
TL45921
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13131834
—
CO
Enumeration date
07/01/2008
Last updated
08/25/2022
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