Basic Information
| Provider Information | |||||||||
| NPI: | 1316973498 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KEELE | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | RAY | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PHYSICIAN ASSISTANT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10408 E BIG MEADOWS RD | ||||||||
| Address2: | |||||||||
| City: | CHATTAROY | ||||||||
| State: | WA | ||||||||
| PostalCode: | 990039568 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5092382704 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4815NWASSEMBLY | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 99205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5094347000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | PA10001744 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.