Dr. Matthew S. Keene
Podiatrist Foot & Ankle Surgery Primary Podiatric Medicine
4777 East State Street Suite 8
Rockford
, Illinois 61108
Dr. Matthew S. Keene
Podiatrist Foot & Ankle Surgery Primary Podiatric Medicine
4777 East State Street Suite 8
Rockford
, Illinois 61108
(815) 397-2266
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Matthew S. Keene
- 4777 East State Street Suite 8
- Rockford, IL
- Zip : 61108
- Fax : (815) 397-2266
- Phone : (815) 980-8980
Second Address
- Dr. Matthew S. Keene
- 4777 East State Street Suite 8
- Rockford, IL
- Zip : 61108
- Fax : (815) 397-2266
- Phone : (815) 980-8980
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FAQs
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Is Dr. Matthew S. Keene a sole practitioner?
Is Dr. Matthew S. Keene accepting new patients?
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Does Dr. Matthew S. Keene have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 016005216 | IL |
| N | 222Z00000X | Podiatrist | 016005216 | IL |
| N | 213EP1101X | Primary Podiatric Medicine | 016005216 | IL |
| Y | 213ES0103X | Foot & Ankle Surgery | 016005216 | IL |
National Provider Identifier
| NPI | 1508967621 |
|---|---|
| Provider Name | Dr. Matthew S. Keene |
| First Address | Rockford, IL 61108 |
| Second Address | Rockford, IL 61108 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 12/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010132351 | ILLINOIS BLUE CROSS (01) | IL |
| 016005216 | (05) | IL |
| 217165 | (02) | IL |
| 543690001 | (02) | IL |
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.