Provider Demographics
NPI:1801862735
Name:KEEVE, JONATHAN P (MD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:P
Last Name:KEEVE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:601 W 5TH AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2715
Mailing Address - Country:US
Mailing Address - Phone:509-344-2663
Mailing Address - Fax:509-624-9179
Practice Address - Street 1:12410 E SINTO AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-2280
Practice Address - Country:US
Practice Address - Phone:509-928-4334
Practice Address - Fax:509-928-7893
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2011-08-04
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Provider Licenses
StateLicense IDTaxonomies
WAMD00023664207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
379109600OtherOWCP
WAKE9925OtherASURIS NW HEALTH
WA55714OtherDEPT OF LABOR & INDUSTRIE
WA1043538Medicaid
WA520OtherGROUP HEALTH NW
ID000010004406OtherREGENCE BLUE SHIELD OF ID
ID003291000Medicaid
WA2000105569OtherRR MEDICARE
WA8911414OtherCRIME VICTIMS
IDK6427OtherBLUE CROSS OF IDAHO
WA1043538Medicaid
ID003291000Medicaid