KEENAN MILONAS M.D. PROFESSIONAL SERVICES PLLC
NPI 1013665751
Family Medicine in Liberty Lake, WA

Active since March 11, 2022
2207 N MOLTER RD STE 100, LIBERTY LAKE, WA 99019(509) 241-3541(509) 254-6117 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keenan Milonas M.d. Professional Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEENAN MILONAS M.D. PROFESSIONAL SERVICES PLLC (NPI 1013665751), doing business as Custom Md, is a healthcare organization registered as a family medicine in Liberty Lake, Washington and active in the NPI registry since March 2022. The organization lists Ciara Lopez, Assistant Manager, as its authorized official.

NPPES Registry Identity

NPI1013665751
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKEENAN MILONAS M.D. PROFESSIONAL SERVICES PLLC
Location Address2207 N MOLTER RD STE 100Liberty Lake, WA 99019-7571
Mailing Address2207 N Molter Rd Ste 100Liberty Lake, WA 99019-7571 · (509) 241-3541 · Fax (509) 254-6117
Fax(509) 254-6117
Organization SubpartYes
Authorized OfficialCiara LopezAssistant Manager · (509) 241-3541
Enumeration DateMarch 11, 2022
NPPES CertifiedMarch 11, 2022
NPI 1013665751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
2207 N MOLTER RD STE 100, Liberty Lake, WA 99019

Other Names 2

Doing Business AsCustom Md
Doing Business AsCustom Medicine Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2207 N MOLTER RD STE 100
LIBERTY LAKE, WA 99019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keenan Milonas M.D. Professional Services PLLC's NPI number?

The NPI number for Keenan Milonas M.D. Professional Services PLLC is 1013665751. It was assigned to this organization in the NPPES registry on March 11, 2022. The provider is doing business as Custom MD and Custom Medicine MD.

Where is Keenan Milonas M.D. Professional Services PLLC located?

Keenan Milonas M.D. Professional Services PLLC is located at 2207 N Molter Rd Ste 100, Liberty Lake, WA 99019. The listed phone number is (509) 241-3541.

What is Keenan Milonas M.D. Professional Services PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Keenan Milonas M.D. Professional Services PLLC was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.