Organization · Type 2 NPI

Keenan Milonas M.d. Professional Services PLLC

Family Medicine Physician · Liberty Lake, WA

NPI number 1013665751 Active

Practice location

2207 N Molter Rd Ste 100
Liberty Lake, WA 99019-7571

Fax (509) 254-6117

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

Keenan Anthony Milonas, MDFamily Medicine Physician Liberty Lake, WA NPI 1629364963

Other family medicine physician providers in Liberty Lake

See all in Liberty Lake →

NPI record

NPI: 1013665751
Entity type: Organization (Type 2)
Issued: Mar 11, 2022
Last updated: Mar 11, 2022
Status: Active
Subpart: Yes of Keenan Milonas M.d. Professional Services PLLC

Other names

Custom MD · doing business as
Custom Medicine MD · doing business as

Authorized official

Ciara Lopez
Assistant Manager
(509) 241-3541

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013665751

Keenan Milonas M.d. Professional Services PLLC's National Provider Identifier is 1013665751, issued on Mar 11, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Liberty Lake, WA. The record was last updated on Mar 11, 2022.