Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK C. KEEN, M.D.
Active Sole ProprietorDR. JACK C. KEEN, M.D. is a Specialist healthcare provider located in CRESSON, Texas. NPI 1063759652 is currently active in the NPPES registry. Verify at CMS.
Specialist · CRESSON, TX
Registration Details
- NPI Number
- 1063759652
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2013 (13.564960531145 yrs)
- Last Updated
- Jan 15, 2013
- License
-
G4144 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
408 STONE MOUNTAIN CTCRESSON, TX, 760355628Browse TX providers · Browse ZIP 76035
- Phone
- 8175123006
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.