# KEEN IMMEDIATE CARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Keen Urgent Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255911368
- **Authorized official:** MR. DAVID OSEDO PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (901) 283-4637

## Contact information

- **Practice address:** 749 RIVERSIDE DRIVE LN, MACON, GA 31201-2658
- **Practice address phone:** (478) 832-2265
- **Mailing address:** 5243 RIVERSIDE DR APT 1502, MACON, GA 31210-0869
- **Mailing address phone:** (901) 283-4637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2021
- **Last updated:** 04/12/2021