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Individual

DR. RICHARD A KEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.D.

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4520
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000092494
AL
05
009910631
AL
05
009983330
AL
05
009983340
AL
01
51005744
BCBS ALABAMA
AL
01
51092494
BCBS OF ALABAMA
AL
01
51517275
BCBS OF ALABAMA
AL
01
51591092
BCBS OF ALABAMA
AL
01
852063
UNITED CONCORDIA
AL
Enumeration date
09/27/2006
Last updated
07/21/2022
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