Matthew Minseok Keum
Pain Medicine
36060 Euclid Ave Ste 101
Willoughby
, Ohio 44094-4661
Matthew Minseok Keum
Pain Medicine
36060 Euclid Ave Ste 101
Willoughby
, Ohio 44094-4661
(440) 269-4991
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Matthew Minseok Keum
- 36060 Euclid Ave Ste 101
- Willoughby, OH
- Zip : 44094-4661
- Fax : (440) 269-4991
- Phone : (440) 269-4990
Second Address
- Matthew Minseok Keum
- 36060 Euclid Ave Ste 101
- Willoughby, OH
- Zip : 44094-4661
- Fax : (440) 269-4991
- Phone : (440) 269-4990
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 35078037 | OH |
National Provider Identifier
| NPI | 1073508297 |
|---|---|
| Provider Name | Matthew Minseok Keum |
| First Address | Willoughby, OH 44094-4661 |
| Second Address | Willoughby, OH 44094-4661 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2005 |
| Last Update Date | 02/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2253289 | (05) | OH |
| G29683 | (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.