Individual
JONATHAN KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2003 EAST MAIN STREET, LEBANON, VA 24266
(276) 883-0889
Mailing address
284 BEN BOLT AVE, TAZEWELL, VA 24651-5384
(276) 385-1940
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003087
VA
Other
Enumeration date
11/19/2021
Last updated
01/09/2026
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