Mark K Keohane, M.D. Valid NPI
Individual provider · Orthopaedic Surgery Physician · O Fallon, MO
- NPI
- 1710980750
- Type
- Individual (Type 1)
- Primary specialty
- Orthopaedic Surgery Physician (Orthopaedic Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207X00000X
- License number
- 34653 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-05-23
- Last updated
- 2012-03-01
Practice location
9323 Phoenix Village Pkwy
O Fallon, MO 63366-4281
(636) 561-5030