Individual
MR. KEITH L EKNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2810 N MEYER RD, POST FALLS, ID 83854-5939
(208) 661-0093
Mailing address
2810 N MEYER RD, POST FALLS, ID 83854-5939
(208) 661-0093
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-30275
ID
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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