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Organization
KEITH EARL KENYON JR MD INC
Active
Organization
KEITH EARL KENYON JR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH EARL KENYON JR. M.D. (PRESIDENT)
(213) 483-2416
Entity
Organization
Contact information
Practice address
201 S ALVARADO ST, SUITE 406, LOS ANGELES, CA 90057-2320
(213) 483-2416
(213) 483-8211
Mailing address
201 S ALVARADO ST, SUITE 406, LOS ANGELES, CA 90057-2320
(213) 483-2416
(213) 483-8211
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G30715
CA
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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