Individual
DR. KANYON R. KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
130 TOWNE CENTER WEST BOULEVARD, HENRICO, VA 23233-2323
(804) 270-5028
(804) 747-3599
Mailing address
11545-A NUCKOLS ROAD, GLEN ALLEN, VA 23059
(804) 673-8061
(804) 673-5644
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401006889
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0438000164
VA
Other
Enumeration date
03/30/2006
Last updated
01/29/2024
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