| Keenan Milonas M.d. Professional Services Pllc | |
|
2207 N Molter Rd Ste 100 Liberty Lake WA 99019-7571 | |
| (509) 241-3541 | |
| (509) 254-6117 |
| Full Name | Keenan Milonas M.d. Professional Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2207 N Molter Rd Ste 100, Liberty Lake, Washington |
| Authorized Official Name and Position | Ciara Lopez (ASSISTANT MANAGER) |
| Authorized Official Contact | 5092413541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keenan Milonas M.d. Professional Services Pllc 2207 N Molter Rd Ste 100 Liberty Lake WA 99019-7571 Ph: (509) 241-3541 | Keenan Milonas M.d. Professional Services Pllc 2207 N Molter Rd Ste 100 Liberty Lake WA 99019-7571 Ph: (509) 241-3541 |
| NPI Number | 1013665751 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 03/11/2022 |
| Medicare PECOS PAC ID | 2668868274 |
|---|---|
| Medicare Enrollment ID | O20220407002034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013665751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Keenan Milonas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629364963 PECOS PAC ID: 7719101500 Enrollment ID: I20140618000520 |
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