# KEITH EARL KENYON JR MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225334360
- **Authorized official:** DR. KEITH EARL KENYON JR. M.D. (PRESIDENT)
- **Authorized official phone:** (213) 483-2416

## Contact information

- **Practice address:** 201 S ALVARADO ST, SUITE 406, LOS ANGELES, CA 90057-2320
- **Practice address phone:** (213) 483-2416
- **Practice address fax:** (213) 483-8211
- **Mailing address:** 201 S ALVARADO ST, SUITE 406, LOS ANGELES, CA 90057-2320
- **Mailing address phone:** (213) 483-2416
- **Mailing address fax:** (213) 483-8211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G30715 | CA | Yes |

## Other

- **Enumeration date:** 02/08/2011
- **Last updated:** 02/08/2011