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Individual

DR. LEONARD JAMES SHAWN KEEVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 JOHN DEERE RD, STE 404, MOLINE, IL 61265-6869
(309) 779-3627
(309) 779-4500
Mailing address
600 JOHN DEERE RD, STE 404, MOLINE, IL 61265-6869
(309) 779-3627
(309) 779-4500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036115130
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01079966
RR MEDICARE
IL
Enumeration date
04/25/2006
Last updated
02/05/2015
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