Robert B McKeeman, MD

Individual provider Active NPI Family Medicine Physician · Friend, NE

NPI 1730164484 · NPPES record last updated Mar 21, 2012

Key facts

NPI
1730164484
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
15963 (NE)
Practice address
1210 2ND St
Friend, NE 68359-1116
Phone
(402) 947-2021
Fax
(402) 947-2127
NPI assigned
Dec 14, 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15963 NE Yes

Addresses

Primary practice location

1210 2ND St
Friend, NE 68359-1116

Mailing address

1210 2ND St
PO Box 227
Friend, NE 68359-0227
Phone (402) 947-2021

Other identifiers

IdentifierTypeStateIssuer
1689712192MedicaidNE
1609043496MedicaidNE

Other providers in Friend, NE

All providers in Friend, NE · Family Medicine Physician in Nebraska

Sources for this page

Verify at the official NPI Registry.