Individual
STEPHANIE ANN KEENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
36 N DETROIT ST STE 105, XENIA, OH 45385-2963
(937) 610-4673
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628
(513) 737-1107
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.006497RX
OH
Other
Enumeration date
10/27/2020
Last updated
10/30/2023
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