Drury, Keith R

Drury, Keith R is an individual health care provider with primary practice located at 678 Southway Ave , Lewiston ID 83501-3783. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Drury, Keith R can be contacted via phone (208) 746-1418.

Contact Information

Primary practice address
678 Southway Ave Lewiston ID 83501-3783
Fax: (208) 746-4123
Website:

Health care specialties

Profile Details

NPI number 1194807073
LBN Legal business name Drury, Keith R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194807073 NPPES
Idaho Other 0112038 WALI
Idaho Other 7023864 WALI
Idaho Other 1000927 WALI
Idaho Other 390090 WALI

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