Doctor Name: | KEITH KREIN |
NPI Number: | 1194001198 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G6196 |
Business Practice Address: | 3227 N 88th St Mesa, AZ - 852079782 |
Business Phone Number: | 4803801996 |
Business Fax Number: | |
Mailing Address: | 3227 N 88th St, MESA |
State: | AZ |
Postal Code: | 852079782 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/24/2011 |
NPI Last Update Date: | 10/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G6196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |