Individual
MARK K KEOHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9323 PHOENIX VILLAGE PKWY, O FALLON, MO 63366-4281
(636) 561-5030
(636) 561-5033
Mailing address
9323 PHOENIX VILLAGE PKWY, O FALLON, MO 63366-4281
(636) 561-5030
(636) 561-5033
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34653
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122683
HEALTHLINK
—
01
—
18883
BLUE CROSS BLUE SHIELD
—
01
—
2253V3458
GHP/ADVANTRA
—
01
—
351240001
CIGNA DMERC
—
01
—
4061116
AETNA
—
01
—
43177
CMR
—
01
—
4434V6097
HEALTHCARE USA
—
01
—
900094
UHC
—
01
—
9043
EXCLUSIVE CHOICE
—
01
—
SP10133
CIGNA
—
Enumeration date
05/23/2005
Last updated
03/01/2012
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