Western Regional Neurology, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

45845 Issued in AZ

Legal business name

WESTERN REGIONAL NEUROLOGY, LLC

Practice address

2005 Injo Dr
Suite 103
Lake Havasu City, AZ 86403-5874

Phone

(865) 531-0176

Fax

(865) 531-0722

NPI assigned

Feb 27, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Camille Yvonne Keene, MDNPI 1780896951

Title

Owner

Phone

(865) 531-0176

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camille Yvonne Keene, M.D.

  • Neurology Physician
  • Lakeport, CA
  • NPI 1780896951
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1013281740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 INJO DR",
            "address_2": "SUITE 103",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035874",
            "telephone_number": "865-531-0176",
            "fax_number": "865-531-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 INJO DR",
            "address_2": "SUITE 103",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035874",
            "telephone_number": "865-531-0176",
            "fax_number": "865-531-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN REGIONAL NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-531-0176",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "45845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Welltower Tenant Group LLC (Lake View Terrace Memory CAre)
• Thomas Wennergren, PHARMD
• Lindsey Werbiskis
• Western Arizona Cardiovascular Surgery PLLC
• Western Arizona Foot & Ankle
• Matthew James Wetzel
• Kristy M Whelan, DO
• Thomas Stampfer White
• Megan SK Wiese, MD
• Joni Wiggins

• Neurological Surgery Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Neurological Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.