Doctor Name: | CHARLES R KEENER |
NPI Number: | 1174606826 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 04-31531 |
Business Practice Address: | 1309 Polk St Great Bend, KS - 67530 |
Business Phone Number: | 6207925341 |
Business Fax Number: | 6207923702 |
Mailing Address: | 1309 Polk St, GREAT BEND |
State: | KS |
Postal Code: | 67530 |
Phone Number: | 6207925341 |
Fax Number: | 6207923702 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 04-31531 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |