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Individual

DR. KEVIN WAYNE KEEFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2923 GINNALA DR, LOVELAND, CO 80538-2702
(970) 669-6660
(970) 669-1099
Mailing address
1627 E 18TH ST, LOVELAND, CO 80538-4209
(970) 663-0135
(970) 461-1422

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02093
IA
207R00000X
Internal Medicine Physician
Primary
44297
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2246934
IA
05
77005848
CO
Enumeration date
10/21/2005
Last updated
05/19/2010
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