Individual
DR. KEVIN CASEY KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3500 GROVE AVE STE 104, RICHMOND, VA 23221-2220
(804) 358-0001
Mailing address
1904 ROCKGLEN LN, GREENSBORO, NC 27410-2167
(336) 339-1966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414709
VA
Other
Enumeration date
06/12/2012
Last updated
03/11/2015
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