# KAYLEE KEENER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710443544
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 4823 | OK | — |
| 363A00000X | Physician Assistant | PA-930 | AR | Yes |
| 363A00000X | Physician Assistant | PA13490 | TX | — |

## Other

- **Enumeration date:** 02/17/2019
- **Last updated:** 08/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1F5971 | MEDICARE | TX |
| 05 | — | 200911220A | — | OK |
| 05 | — | 410600702 | — | TX |
| 01 | — | P02599441 | MCRR | TX |