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Individual

DR. JEAN A KEEVIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
99 CENTRAL AVE, ASHLAND, OR 97520-1787
(541) 482-9741
(541) 488-6141
Mailing address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 842-7626
(541) 842-7640

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD09191
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005403000
BCBS
OR
05
075168
OR
01
P00144657
RAILROAD MEDICARE
OR
Enumeration date
12/08/2006
Last updated
12/10/2012
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