Individual
DR. CAMILLE YVONNE KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 S MAIN ST, LAKEPORT, CA 95453-5510
(707) 263-4441
(707) 263-4449
Mailing address
825 S MAIN ST, LAKEPORT, CA 95453-5510
(707) 263-4441
(707) 263-4449
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G87388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G873880
MEDI-CAL
CA
Enumeration date
05/03/2007
Last updated
10/07/2011
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