Laurence Preston Keim, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1060 Gaffney Rd
Fort Wainwright, AK 99703-5002

Phone

(907) 353-4103

NPI assigned

Aug 8, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1043764939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035002",
            "telephone_number": "907-353-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035002",
            "telephone_number": "907-353-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIM",
        "first_name": "LAURENCE",
        "middle_name": "PRESTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa LMC Joseph
• Nicole Anne Kandra, ATC
• Shelly Karg, LCSW
• Joshua Karrer, DPT
• Laura Nowels Kaster, M.D.
• Kate Kimes, D.O.
• Danita Nevitt Koehler, MD
• Deborah Lynn Kokrine, R.N.
• Mitchell P Kreuze, DDS
• Benjamin Lampe, M.D.

• Physician Assistant in Fort Wainwright, AK
• Providers in Fort Wainwright, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.