| Mr Leroy Neal Keene, PAC | |
|
320 Warner Drive, Lewiston, ID 83501 | |
| (208) 798-5147 | |
| (208) 746-8741 |
| Full Name | Mr Leroy Neal Keene |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 320 Warner Drive, Lewiston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952474041 | NPI | - | NPPES |
| PAC08 | Other | ID | BCI |
| 000010154322 | Other | ID | REGENCE |
| 8450645 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10004927 (Washington) | Secondary |
| 363A00000X | Physician Assistant | PA645 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Leroy Neal Keene, PAC 320 Warner Drive, Lewiston, ID 83501 Ph: (208) 798-5147 | Mr Leroy Neal Keene, PAC 320 Warner Drive, Lewiston, ID 83501 Ph: (208) 798-5147 |
Christopher V Ricketts, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5280 | |
Mr. Gregory Robert Obray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston Orthopaedics, Lewiston, ID 83501 Phone: 208-743-3523 | |
Vincent Fibelstad, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 | |
Breanne L Lybyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Ms. Laura Marie Gifford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Mr. Nicholas Tieu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Ryan Morris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 425-999-5739 |