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Individual

MICHAEL V KEILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 N CURTIS RD, STE 100, BOISE, ID 83706-1394
(208) 378-0080
(208) 378-0259
Mailing address
901 N CURTIS RD, STE 100, BOISE, ID 83706-1394
(208) 378-0080
(208) 378-0259

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
M7909
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215061734
ID
Enumeration date
09/21/2005
Last updated
01/12/2016
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