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Individual

MR. JOHN RUSSELL KEENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RT(R)

Contact information

Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
Mailing address
200 PLAIN DEALING FARM LN, CENTREVILLE, MD 21617-2501
(410) 758-0996

Taxonomy

Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
R0000970
MD

Other

Enumeration date
04/04/2007
Last updated
07/08/2007
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