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

DR. KEVIN KEITH KEEN, D.M.D.

Active Sole Proprietor

DR. KEVIN KEITH KEEN, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in VICKSBURG, Mississippi. NPI 1578614640 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · VICKSBURG, MS

Registration Details

NPI Number
1578614640
Provider Type
Individual
Gender
Male
NPI Issued
Jan 16, 2007 (19.597330447973 yrs)
Last Updated
Feb 26, 2008
License
1223S0112X (MS)
Sole Proprietor
Yes

Practice Information

Address
1205 MISSION PARK DR
VICKSBURG, MS, 391803747
Browse MS providers · Browse ZIP 39180
Phone
6016610034
Fax
6016610367
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
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.