Jesse David Keeler, MD
Internal Medicine in Nampa, ID. Individual provider (NPI-1).
NPI number1902302425
StatusActive
Last updated in NPPESJun 20, 2022
Details
- NPI
- 1902302425
- Entity type
- Individual (NPI-1)
- Name
- Jesse David Keeler
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2018
- Certification date
- Jun 20, 2022
- Last updated
- Jun 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | M-16035 | ID | Yes |
| 207R00000X | Internal Medicine | MRM-1706 | ID |
Practice location
3165 E Greenhurst RdNampa, ID 83686-8655
Phone 208-463-7330
Mailing address
190 E Bannock StBoise, ID 83712-6241
Other practice locations
500 W Fort St
Boise, ID 83702
Boise, ID 83702
Phone 208-422-1000
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