David Ralph Keim
Pediatric Rheumatologist
3021 Voyager Dr
Green Bay
, Wisconsin 54311-8303
David Ralph Keim
Pediatric Rheumatologist
3021 Voyager Dr
Green Bay
, Wisconsin 54311-8303
(920) 431-1849
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About
Features
Specialties
- Pediatric Rheumatologist
Languages spoken
- English
Location
First Address
- David Ralph Keim
- Po Box 19070 Prevea Health
- Green Bay, WI
- Zip : 54307-9070
- Fax : (920) 431-1849
- Phone : (920) 496-4700
Second Address
- David Ralph Keim
- 3021 Voyager Dr
- Green Bay, WI
- Zip : 54311-8303
- Fax : (920) 431-1849
- Phone : (920) 496-4700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0216X | Pediatric Rheumatologist | 33638 | WI |
National Provider Identifier
| NPI | 1770509580 |
|---|---|
| Provider Name | David Ralph Keim |
| First Address | Green Bay, WI 54307-9070 |
| Second Address | Green Bay, WI 54311-8303 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2006 |
| Last Update Date | 28/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 31877400 | (05) | WI |
| E93471 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.