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Individual

BENJAMIN KEGGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
423 N 3RD AVE STE 210, SANDPOINT, ID 83864-1511
(208) 265-2221
(082) 652-2292
Mailing address
521 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3865
(509) 962-1414
(509) 962-1408

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60959580
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2080551
WA
Enumeration date
04/28/2017
Last updated
01/06/2025
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