Individual
MR. LEROY NEAL KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
320 WARNER DRIVE, LEWISTON, ID 83501
(208) 798-5147
(208) 746-8741
Mailing address
320 WARNER DRIVE, LEWISTON, ID 83501
(208) 798-5147
(208) 746-8741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10004927
WA
363A00000X
Physician Assistant
Primary
PA645
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010154322
REGENCE
ID
05
—
8450645
—
WA
01
—
PAC08
BCI
ID
Enumeration date
11/16/2006
Last updated
12/26/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us