Provider Demographics
NPI:1780259382
Name:KEITH C. NEAMAN, MD, LLC
Entity type:Organization
Organization Name:KEITH C. NEAMAN, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KIBEC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-701-6839
Mailing Address - Street 1:1430 COMMERCIAL ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-4308
Mailing Address - Country:US
Mailing Address - Phone:503-364-5033
Mailing Address - Fax:
Practice Address - Street 1:1430 COMMERCIAL ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4308
Practice Address - Country:US
Practice Address - Phone:503-364-5033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KEITH C. NEAMAN, MD, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty