Luke Lance Keene, SOIDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Marsoc
PSC Box 20073
Camp Lejeune, NC 28542-0073

Phone

(910) 449-9967

NPI assigned

Jan 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1215327168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3D MSOB",
            "address_2": "PSC BOX 20073",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420073",
            "telephone_number": "910-449-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARSOC",
            "address_2": "PSC BOX 20073",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420073",
            "telephone_number": "910-449-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "LUKE",
        "middle_name": "LANCE",
        "name_prefix": "Mr.",
        "credential": "SOIDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOIDC MILITARY",
            "identifier": "1265997380",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Karnes
• Pamela Boyer Kasten, NP
• Danielle Kato
• Katy L Kazel, M.D.
• Charles Michael Keane, DDS
• Thomas Edward Keeton III, SOIDC
• Vilas Joseph Keith, DAOM, L.AC.
• Daniel Keller, MD
• Tyler Scott Kemerer, DDS, MS
• Jennifer Kempher, COTA/L

• Independent Duty Corpsman in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Independent Duty Corpsman in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.