Individual
DR. RICHARD A KEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
7200 HALCYON SUMMIT DRIVE, MONTGOMERY, AL 36117-7047
(334) 277-3492
(334) 277-9432
Mailing address
7200 HALCYON SUMMIT DRIVE, MONTGOMERY, AL 36117-7047
(334) 277-3492
(334) 277-9432
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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