Kale, Keith W

Kale, Keith W is an sole proprietor health care provider with primary practice located at 10748 Ne Halsey St , Portland OR 97220-3961. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kale, Keith W can be contacted via phone (503) 255-9400.

Contact Information

Primary practice address
10748 Ne Halsey St Portland OR 97220-3961
Phone: (503) 255-9400
Fax: (503) 255-9402
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO17457 Oregon
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X DO17457 Oregon

Profile Details

NPI number 1043254378
LBN Legal business name Kale, Keith W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Jan 27th, 2016 - about 10 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 1043254378 NPPES
Oregon MEDICAID 036207

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