Most Relevant Information
Provider Data
| NPI Number: | 1003386483 |
| Provider Name: | KEANU MCCUNE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/28/2018 |
| Last Updated: | 05/31/2023 |
Provider Practice Location
2210 N ELDORADO AVE
KLAMATH FALLS
OR
976016418
Practice Location Phone/Fax
| Phone: | 5418831030 |
| Fax: |
Provider Mailing Location
2210 N ELDORADO AVE
KLAMATH FALLS
OR
976016418
Provider Mailing Phone/Fax
| Phone: | 5418831030 |
| Fax: |