Keen Medical Group, Inc.

NPI 1053456962 - Family Medicine - 207Q00000X

NPI Details
NPI 1053456962
Enumeration Date 02/20/2007
Last Updated 03/03/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ARLENE ARLENE
Position PRESIDENT
Phone (760) 956-5057
Fax (760) 948-2179
Practice Location
12021 JACARANDA AVE
HESPERIA CA, 92345-4978, US
Phone (760) 956-5057
Fax (760) 948-2179
Business Location
12021 JACARANDA AVE
HESPERIA CA, 92345-4978, US
Phone (760) 956-5057
Fax (760) 948-2129
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G66379
Remove 1053456962 NPI Number
 

According to our database, Keen Medical Group, Inc. NPI is 1053456962, taxonomy code is 207Q00000X and license number is G66379, license state is located at California. Keen Medical Group, Inc. physically located at 12021 Jacaranda Ave, Hesperia CA, 92345-4978. NPI Number 1033115704 has the healthcare provider type.

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1053456962 NPI number is provided on an as is basis without warranty of any kind. 1053456962 is maintained by the National Plan & Provider Enumeration System. The contents of Keen Medical Group, Inc. are for informational purposes only.