Individual
MR. KEITH L KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
MILE 4.2 TALKEETNA SPER RD, TALKEETNA, AK 99676
(907) 733-9205
(907) 733-1735
Mailing address
185 E PARKS HWY, WASILLA, AK 99654-7038
(907) 373-4203
(907) 373-4201
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
AA366
AK
Other
Enumeration date
05/23/2006
Last updated
05/20/2020
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