Tawn I Keeney, MD
Individual provider Active NPI Family Medicine Physician · Honokaa, HI
NPI 1477539591 · NPPES record last updated Sep 15, 2010
Key facts
- NPI
- 1477539591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD 2956 (HI)
- Practice address
- 45 549 Plumeria Street
Hamakua Health Center Inc
Honokaa, HI 96727-6902 - Phone
- (808) 775-7204
- Fax
- (808) 775-9404
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 2956 | HI | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD 2956 | HI | Yes |
Addresses
Primary practice location
45 549 Plumeria Street
Hamakua Health Center Inc
Honokaa, HI 96727-6902
Mailing address
45 549 Plumeria Street
Hamakua Health Center Inc
Honokaa, HI 96727-6902
Phone (808) 775-7204
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51864901 | Medicaid | HI |
Other providers in Honokaa, HI
- Integrated Psychological Services, Hawaii
- Integrated Psychological Services, Hawaii
- Melinda Darcel Jones
- Wendy Ann K Kapu
- Candace Kauahi
- Naomi Kimmelman
- Marilyn Schiewe Lippert
- Annette Lynn Manant
- Franziska S. Maria
- Catherine A Marquette
All providers in Honokaa, HI · Family Medicine Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.