DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER D. KEEN-KIM, PH.D

Active

207SG0203X · SAN CARLOS, CA

Registration Details

NPI Number
1063992386
Provider Type
Individual
Gender
Female
NPI Issued
Aug 16, 2018 (7.681513221316 yrs)
Last Updated
Sep 17, 2025
License
DRN00000044 (CA)

Practice Information

Address
201 INDUSTRIAL RD STE 410
SAN CARLOS, CA, 940702396
Browse CA providers · Browse ZIP 94070
Phone
6502499090
Primary Specialty
207SG0203X
207SG0203X

Other 207SG0203X Providers in SAN CARLOS, CA

Name Credential NPI
DR. YU LENG PHUA PHD, FACMG 1538035233
JING XIE 1851247506
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.