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SAMANTHA KEEVILLE
NPI 1114447976
Specialist in Waite Park, MN

Active since June 22, 2017
423 GREAT OAK DR, WAITE PARK, MN 56387(320) 281-5305(320) 281-5306 Get Directions Write a Review

NPPES record last updated: June 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Keeville NPPES

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

SAMANTHA KEEVILLE (NPI 1114447976) is an individual specialist in Waite Park, Minnesota and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1114447976
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSAMANTHA KEEVILLE
Location Address423 GREAT OAK DRWaite Park, MN 56387-2507
Mailing Address891 Belsly BlvdMoorhead, MN 56560-5055 · (218) 287-4338 · Fax (218) 287-5928
Phone(320) 281-5305
Fax(320) 281-5306
Sole ProprietorNo
Enumeration DateJune 22, 2017
✔ NPI 1114447976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
423 GREAT OAK DR, Waite Park, MN 56387
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Other Providers at the Same Location NPPES 20

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

REBECCA NELSON
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (320) 281-5305
MARY DOMINE
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338
ERIN SCHOBORG
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338
JENNIFER GERTEN
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338
BARRY WOLFF
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338
TAYLOR SPREEMAN
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (320) 281-5305
KLOE PETTIT-SPERLING
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (320) 281-5305
NICOLE HINES
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338

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 Samantha Keeville's NPI number?

The NPI number for Samantha Keeville is 1114447976. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Samantha Keeville located?

Samantha Keeville practices at 423 Great Oak Dr, Waite Park, MN 56387. The listed phone number is (320) 281-5305.

What is Samantha Keeville's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Samantha Keeville was last updated on June 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.