Individual
MR. ROBERT DONALD KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2602 ROLLING RD, VALDOSTA, GA 31602-1218
(229) 560-4575
Mailing address
50 S B B KING BLVD STE 100, MEMPHIS, TN 38103-2626
(901) 422-7644
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN105604
GA
Other
Enumeration date
11/04/2019
Last updated
04/19/2022
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