Individual
LON W KEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4242 FARNAM ST, SUITE 355, OMAHA, NE 68131-2806
(402) 552-9700
Mailing address
4242 FARNAM ST, SUITE 355, OMAHA, NE 68131-2806
(402) 552-9700
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
13357
NE
207RP1001X
Pulmonary Disease Physician
19940
IA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
13357
NE
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
19940
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00910
BCBSN
NE
01
—
07633
WELLMARK - HAMBURG
IA
05
—
10025359300
—
NE
05
—
200999811
—
MO
05
—
4902544
—
IA
05
—
5902544
—
IA
01
—
94690
WELLMARK - FARNAM
IA
01
—
P00307779
RAILROAD MEDICARE
NE
Enumeration date
02/11/2006
Last updated
07/25/2008
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