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Individual

JENNIFER D. KEEN-KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
201 INDUSTRIAL RD STE 410, SAN CARLOS, CA 94070-2396
(650) 249-9090
Mailing address
201 INDUSTRIAL RD STE 410, SAN CARLOS, CA 94070-2396
(650) 249-9090

Taxonomy

Speciality
Code
Description
License number
State
207SG0203X
Clinical Molecular Genetics Physician
Primary
DRN00000044
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2080108
HCLD-ABB
01
26954
LICENSE
TN
01
81357DIR0
LICENSE
NV
01
DRM00000056
LICENSE
CA
01
DRN00000044
LICENSE
CA
01
KEENJ1
LICENSE
NY
Enumeration date
08/16/2018
Last updated
09/17/2025
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