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Individual

KEVIN O. KEOWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
118 AZALEA RD STE 1, BAXLEY, GA 31513-9197
(912) 294-0380
(912) 427-0591
Mailing address
118 AZALEA RD STE 1, BAXLEY, GA 31513-9197
(912) 294-0380
(912) 427-0591

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29897
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00349489A
GA
Enumeration date
08/18/2005
Last updated
06/27/2025
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