Individual
DR. ANITA SUSAN KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1020 TERRACE DR, SUITE 100, MARION, VA 24354-4392
(276) 783-5157
(276) 783-5159
Mailing address
1020 TERRACE DR, SUITE 100, MARION, VA 24354-4392
(276) 783-5157
(276) 783-5159
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000072
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009234080
—
VA
Enumeration date
09/20/2006
Last updated
07/08/2007
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