Kanyon R. Keeney DDS

NPI 1043271935 - Dentist - 1223S0112X

NPI Details
NPI 1043271935
Gender Male
Enumeration Date 03/30/2006
Last Updated 12/02/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
11319 POLO PLACE
MIDLOTHIAN VA, 23113, US
Phone (804) 794-0794
Fax (804) 379-2858
Business Location
11545-A NUCKOLS ROAD
GLEN ALLEN VA, 23059, US
Phone (804) 673-8061
Fax (804) 673-5644
Toxanomy
Taxonomy Code 1223S0112X
License State Virginia
License Number 0401006889
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According to our database, Kanyon R. Keeney DDS NPI is 1043271935, taxonomy code is 1223S0112X and license number is 0401006889, license state is located at Virginia. Kanyon R. Keeney DDS physically located at 11319 Polo Place, Midlothian VA, 23113. NPI Number Kanyon R. Keeney DDS has the Individual type.

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1043271935 NPI number is provided on an as is basis without warranty of any kind. 1043271935 is maintained by the National Plan & Provider Enumeration System. The contents of Kanyon R. Keeney DDS are for informational purposes only.